Individual
DR. GARY T MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NBV 15 S 14, NEW YORK, NY 10016-6402
(212) 263-6509
Mailing address
550 1ST AVE, NBV 15 S 14, NEW YORK, NY 10016-6402
(212) 263-6509
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
267752
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620476822
TAX ID
—
Enumeration date
06/30/2006
Last updated
03/27/2015
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