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Organization

PEDIATRIC ENDOCRINOLOGY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADANETTE WISCOVITCH (PRESIDENT)
(787) 502-2598
Entity
Organization

Contact information

Practice address
BOSQUE MAR APT.302-A, RIO GRANDE, PR 00745
(787) 502-2598
Mailing address
13 CAMINO LOS BAEZ APT 802, CAMINO LOS BAEZ, GUAYNABO, PR 00971-9636
(787) 502-2598

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9670
PR

Other

Enumeration date
05/16/2014
Last updated
05/16/2014
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