Bespoke Surgical, Pc

NPI 1063733863 - Pathology - 207ZP0102X

NPI Details
NPI 1063733863
Enumeration Date 06/15/2010
Last Updated 12/11/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EVAN BRAD EVAN
Position OWNER
Phone (212) 206-1501
Fax (888) 880-8621
Practice Location
160 7TH AVE S
NEW YORK NY, 10014-2727, US
Phone (212) 206-1501
Fax (888) 880-8621
Business Location
160 7TH AVE S
NEW YORK NY, 10014-2727, US
Phone (212) 206-1501
Fax (888) 880-8621
Toxanomy
Taxonomy Code 207ZP0102X
License State
License Number
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According to our database, Bespoke Surgical, Pc NPI is 1063733863, taxonomy code is 207ZP0102X Bespoke Surgical, Pc physically located at 160 7th Ave S, New York NY, 10014-2727. NPI Number 1033115704 has the healthcare provider type.

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1063733863 NPI number is provided on an as is basis without warranty of any kind. 1063733863 is maintained by the National Plan & Provider Enumeration System. The contents of Bespoke Surgical, Pc are for informational purposes only.