Individual
DR. JARON ELLIS TEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-6679
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
312180
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
312180
NY
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
03/22/2017
Last updated
09/15/2024
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