Individual
VLAD ANDREI TOMUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST RM G161, MOSES GOLD ZONE, MAIN FLOOR, BRONX, NY 10467-2401
(646) 492-1790
Mailing address
1634 HERING AVE FL 2, BRONX, NY 10461-2006
(347) 398-9287
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
260432
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2008
Last updated
03/31/2011
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