| Bladdymir Coronel, | |
|
258 Andrew Pl, Bloomingdale, NJ 07403-1524 | |
| (201) 704-8134 | |
| Not Available |
| Full Name | Bladdymir Coronel |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 258 Andrew Pl, Bloomingdale, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407369846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | QA00467400 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bladdymir Coronel, 258 Andrew Pl, Bloomingdale, NJ 07403-1524 Ph: () - | Bladdymir Coronel, 258 Andrew Pl, Bloomingdale, NJ 07403-1524 Ph: (201) 704-8134 |
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