Individual
MARK JEFFREY MARUSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 OTSDAWA AVE, OTEGO, NY 13825-2260
(607) 434-8442
Mailing address
21 OTSDAWA AVE, OTEGO, NY 13825-2260
(607) 434-8442
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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