Individual
JESSICA TUGETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
3636 WALDO AVE APT 8J, BRONX, NY 10463-2255
(917) 557-6006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
300651
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2016
Last updated
06/09/2021
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