Individual
MARIA CLARA FERNANDES DE PAULA TITO JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
303 E 60TH ST APT 23E, NEW YORK, NY 10022-1523
(646) 531-6687
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
P105114
NY
Other
Enumeration date
07/12/2021
Last updated
09/08/2022
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