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Individual
VINCENT MARRONE
Active
Individual
VINCENT MARRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
132343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00700349
—
NY
01
—
VM03V69710
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/08/2005
Last updated
06/25/2008
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