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Individual

PEDRO P. MARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3400 BAINBRIDGE AVE, 5TH FLOOR, BRONX, NY 10467-2404
(718) 920-4531
Mailing address
22 OVERLOOK RD, OSSINING, NY 10562-1311
(718) 920-4531

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
249007
NY
208800000X
Urology Physician
OS012681
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012337800001
PA
01
1724343
PERSONAL CHOICE
PA
01
2392878000
KEYSTONE IBC
PA
01
34935
HEALTH PARTNERS
PA
Enumeration date
08/18/2006
Last updated
06/14/2012
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