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Individual
ALTON MARCELLO
Active
Individual
ALTON MARCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N5221
TX
207V00000X
Obstetrics & Gynecology Physician
N5221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104259
—
TX
Enumeration date
09/28/2007
Last updated
10/08/2014
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