Wakefield Medical Professionals, P.c.

NPI 1558579201 - Pediatrics - 208000000X

NPI Details
NPI 1558579201
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RODOLFO COMUYOG RODOLFO
Position PRESIDENT
Phone (718) 994-6755
Fax (718) 994-3032
Practice Location
711 NEREID AVE
BRONX NY, 10466-1201, US
Phone (718) 994-6755
Fax (718) 994-3032
Business Location
711 NEREID AVE
BRONX NY, 10466-1201, US
Phone (718) 994-6755
Fax (718) 994-3032
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 169367
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According to our database, Wakefield Medical Professionals, P.c. NPI is 1558579201, taxonomy code is 208000000X and license number is 169367, license state is located at New York. Wakefield Medical Professionals, P.c. physically located at 711 Nereid Ave, Bronx NY, 10466-1201. NPI Number 1033115704 has the healthcare provider type.

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1558579201 NPI number is provided on an as is basis without warranty of any kind. 1558579201 is maintained by the National Plan & Provider Enumeration System. The contents of Wakefield Medical Professionals, P.c. are for informational purposes only.