Individual
EFRAIN CRESPO-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 ALLERTON AVE, BRONX, NY 10467
(718) 547-7771
(215) 291-2587
Mailing address
645 ALLERTON AVE, BRONX, NY 10467-7403
(718) 547-7771
(215) 291-2587
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD049380L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015988030001
—
PA
Enumeration date
11/23/2005
Last updated
03/31/2015
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