Organization
BIENVENIDO FAJARDO, M.D.P.C.
Active
Other names
Associated Medical Group, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIENVENIDO FAJARDO MD (MEDICAL DIRECTOR)
(212) 942-0808
Entity
Organization
Contact information
Practice address
37 NAGLE AVE APT 1D, NEW YORK, NY 10040
(212) 942-0808
(212) 942-1553
Mailing address
37 NAGLE AVE APT 1D, NEW YORK, NY 10040-1483
(212) 942-0808
(212) 942-1553
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
163674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01016260
—
NY
Enumeration date
03/27/2009
Last updated
08/23/2018
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