Individual
MR. JOSEPH PEPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2490
(718) 920-4385
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013956
NY
Other
Enumeration date
06/07/2010
Last updated
06/10/2010
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