Organization
BRONX MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN J BASE M.D. (PRESIDENT)
(718) 806-1434
Entity
Organization
Contact information
Practice address
65-11 BOOTH STREET, SUITE 1C, REGO PARK, NY 11374-4184
(718) 806-1434
(718) 806-1435
Mailing address
65-11 BOOTH STREET, SUITE 1C, REGO PARK, NY 11374-4184
(718) 806-1434
(718) 806-1435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
187770
NY
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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