Individual
ANTHONY M MAUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
1601 HARRISON AVE, UTICA, NY 13501-5201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
759084131
NY
174400000X
Specialist
Primary
759085131
NY
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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