Individual
DR. RONALD H MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6127
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6127
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
216045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02316750
—
NY
01
—
216045
LICENSE
NY
Enumeration date
01/05/2007
Last updated
12/04/2008
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