Individual
MARIA LOURDES DE GUZMAN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9331
(718) 960-3792
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9331
(718) 960-3792
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
245271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02362467
—
NY
Enumeration date
08/30/2006
Last updated
12/02/2008
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