Individual
ANTONIO LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4154
Mailing address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-0000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
06/20/2024
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