Individual
DR. MIGUEL LORENZO SILVA LITAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
498 ESSEX ST STE 105, BANGOR, ME 04401-3990
(212) 263-7744
Mailing address
43 WESTMINSTER AVE, BERGENFIELD, NJ 07621-3913
(201) 387-1957
(201) 387-1036
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
285351
NY
2085R0204X
Vascular & Interventional Radiology Physician
285351
NY
Other
Enumeration date
05/03/2013
Last updated
04/07/2020
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