Organization
SAMARITAN MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO VICTORIA MD (PRESIDENT)
(315) 785-4570
Entity
Organization
Contact information
Practice address
826 WASHINGTON ST, WATERTOWN, NY 13601-4063
(315) 788-1751
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-4570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
11/21/2022
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