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Organization
MARCELLUS MEDICAL GROUP PLLC
Active
Organization
MARCELLUS MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHATUNA N STEPKOVITCH MD (PHYSICIAN/OWNER)
(315) 673-1529
Entity
Organization
Contact information
Practice address
1/2 ORANGE ST, MARCELLUS, NY 13108-1216
(317) 673-1529
(315) 673-2434
Mailing address
1/2 ORANGE ST, MARCELLUS, NY 13108-1216
(317) 673-1529
(315) 673-2434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
08/04/2020
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