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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN WELLCARE MEDICAL PC

Active Organization

SOUTHERN WELLCARE MEDICAL PC is a Family Medicine organization located in BRONX, New York. NPI 1396090932 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BRONX, NY

Registration Details

NPI Number
1396090932
Provider Type
Organization
NPI Issued
Jul 19, 2012 (14.093178162074 yrs)
Last Updated
Oct 17, 2019
License
228243 (NY)

Practice Information

Address
2336 GRAND CONCOURSE
BRONX, NY, 104586903
Browse NY providers · Browse ZIP 10458
Phone
7189070195
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.