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Individual

DR. EDGARDO BAJAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
460 BRIELLE AVE, STATEN ISLAND, NY 10314-6427
(718) 317-3267
Mailing address
460 BRIELLE AVENUE, STATEN ISLAND, NY 10314
(718) 317-3267
(718) 317-3867

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
119572
NY

Other

Enumeration date
09/20/2006
Last updated
04/01/2015
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