Organization
B FAJARDO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIENVENIDO FAJARDO M.D. (MEDICAL DIRECTOR)
(212) 543-9700
Entity
Organization
Contact information
Practice address
140 WADSWORTH AVE APT 3, NEW YORK, NY 10033-4817
(212) 543-9700
(212) 543-1357
Mailing address
140 WADSWORTH AVE APT 3, NEW YORK, NY 10033-4817
(212) 543-9700
(212) 543-1357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
163674
NY
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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