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Individual
MARC DEBERGH
Active
Individual
MARC DEBERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016628
NY
Other
Enumeration date
06/26/2013
Last updated
10/07/2021
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