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Individual

ALVARO VALLEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 E 68TH ST # N-046, NEW YORK, NY 10021-4870
(212) 746-3607
(718) 445-9846
Mailing address
525 E 68TH ST # N-046, NEW YORK, NY 10021-4870
(212) 746-0373
(212) 746-7481

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
127021
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00299610
NY
Enumeration date
10/09/2006
Last updated
07/08/2007
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