A.W Medical Office, P.C

LBN: A.W Medical Office, P.C
A.W Medical Office, P.C is an health care organization with primary practice located at 1624 University Ave. , Bronx NY 10453-6948. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. A.W Medical Office, P.C can be contacted via phone (718) 294-4008, or through Tallaj, Ramon Modesto via phone (718) 294-4008.

Contact Information

Primary practice address
1624 University Ave. Bronx NY 10453-6948
Phone: (718) 294-4008
Fax: (718) 294-9466
Website:
Map and Directions
Authorized official contact:
Name: Tallaj, Ramon Modesto Doctor of Medicine (MD)
Phone: (718) 294-4008

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 204704 New York

Profile Details

NPI number 1235316563
LBN Legal business name A.W Medical Office, P.C
DBA Doing business as
Authorized official Tallaj, Ramon Modesto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2008
Last updated May 15th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235316563 NPPES
New York Other 639AH1 BCBS

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