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Individual

DR. BOGDAN IONUT DAVIDESCU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 W KINGSBRIDGE RD, J J PETERS VA MEDICAL CENTER REHABILITATION MEDICINE, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
261606
NY
208VP0000X
Pain Medicine Physician
261606
NY

Other

Enumeration date
04/27/2009
Last updated
03/06/2013
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