R GUILLEN MD PC
Ambulatory Health at Willis Ave, Bronx, NY

License number
New York 233234
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. RAFAEL ANTONIO GUILLEN MD
Title: MEDICAL DOCTOR
Phone: (718) 401-2300
Address
Address
509 Willis Ave FL 4, Bronx, NY 10455
National Provider ID: 1467612499
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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R. GUILLEN, M.D., PC

Bronx, NY

Registration:
Oct 30, 2007
Addresses:
509 Willis Ave, Bronx, NY 10455 (Physical)
509 Willlis Ave 4, Bronx, NY 10455 (Physical)
State ID:
3586869
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Md Rafael A. Guillen, 509 Willis Ave 4, Bronx, NY 10455 (Physical)

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