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Individual

DR. JUAN A ESCARFULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
625 E FORDHAM RD, BRONX, NY 10458-5049
(718) 933-1900
(718) 563-4039
Mailing address
625 E FORDHAM RD, BRONX, NY 10458-5049
(718) 933-1900
(718) 563-4039

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4051R
LA
207RI0011X
Interventional Cardiology Physician
Primary
281318
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04274700
NY
05
1306517
LA
Enumeration date
06/09/2006
Last updated
03/14/2019
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