Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Health Service |
261QH0100X |
| NPI # | 1518557750 |
| LBN Legal business name | THE MEDISTATION LLC |
| Authorized official | CARLOS TRONZA - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/21/2021 |
| Last updated | 01/05/2024 - About 2 years ago |
| Identifiers | n/a |
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THE MEDISTATION LLC
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