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Individual

DR. MARCELO O POMARES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1419 SHAKESPEARE AVE, BRONX, NY 10452-1851
(718) 538-6311
(718) 538-5820
Mailing address
2222 FISH AVE, BRONX, NY 10469-5837
(347) 602-6423

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200537
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01648484
NY
Enumeration date
01/12/2007
Last updated
07/08/2007
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