Individual
MR. ROGELIO BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1136, NEW YORK, NY 10029-6500
(212) 241-5558
Mailing address
1 GUSTAVE L LEVY PL, BOX 1136, NEW YORK, NY 10029-6500
(212) 241-5558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MP00183
NJ
363AS0400X
Surgical Physician Assistant
Primary
002198-1
NY
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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