Provider Demographics
NPI:1205230117
Name:POSSO PENAS, RAMSES (MD)
Entity Type:Individual
Prefix:
First Name:RAMSES
Middle Name:
Last Name:POSSO PENAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAMSES
Other - Middle Name:
Other - Last Name:POSSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:301 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2764
Mailing Address - Country:US
Mailing Address - Phone:732-585-0996
Mailing Address - Fax:
Practice Address - Street 1:4487 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-1526
Practice Address - Country:US
Practice Address - Phone:718-960-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2943041207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology