Individual
CARLOS OBLENA DATOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
281672
NY
Other
Enumeration date
05/24/2012
Last updated
03/07/2019
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