Organization
ANGELICUM MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BALDONADO MD (PRESIDENT)
(347) 825-8288
Entity
Organization
Contact information
Practice address
334 GRAND CONCOURSE, BRONX, NY 10451-5409
(718) 590-5900
(888) 557-5258
Mailing address
334 GRAND CONCOURSE, BRONX, NY 10451-5409
(718) 590-5900
(888) 557-5258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
271367-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02061425
—
NY
05
—
03302870
—
NY
Enumeration date
06/22/2010
Last updated
07/09/2015
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