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Individual

MARCO E VEZZA

Active
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Individual

MARCO E VEZZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196403
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01553497
—
NY
01
—
110174446
RAILROAD MEDICARE
NY
01
—
2C8097
HEALTHNET
NY
01
—
5504277
GHI
NY
01
—
76936
VYTRA
NY
01
—
P831218
OXFORD
NY
Enumeration date
01/18/2007
Last updated
09/05/2012
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