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NPI Code Detail

MEDICARE: BERNARDINO VELASQUEZ MD

MEDICARE: BERNARDINO VELASQUEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician249110NY

General Provider Information

NPI Number : 1932369550
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARDINO VELASQUEZ MD
Provider Business Mailing Address
First Line : 7878 N 16TH ST STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4478
Country : US
Telephone Number : 602-308-7815
Fax Number :
Provider Business Practice Location Address
First Line : 7878 N 16TH ST STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4478
Country : US
Telephone Number : 602-308-7815
Fax Number : 602-277-8146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2008
Last Update Date : 10/05/2020

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Directions to “ BERNARDINO VELASQUEZ MD” Practice Location

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