Individual
DR. ABHISHRUT PRAMOD JOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7697
(718) 590-1800
Mailing address
1650 SELWYN AVE APT 20G, BRONX, NY 10457-7689
(929) 360-5726
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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