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Organization

MANUEL C BULAUITAN MDPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL C BULAUITAN MD (OWNER)
(718) 291-9384
Entity
Organization

Contact information

Practice address
177-06 WEXFORD TERRACE, JAMAICA ESTATES, NY 11432-2927
(718) 291-9384
Mailing address
177-06 WEXFORD TERRACE, JAMAICA ESTATES, NY 11432-2927
(718) 291-9384
(718) 558-9020

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
121369
NY

Other

Enumeration date
02/28/2006
Last updated
08/08/2008
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