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Individual

MARC MALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 E BRIGHTON AVENUE, SYRACUSE, NY 13205
(315) 413-3279
(315) 469-6558
Mailing address
700 E BRIGHTON AVENUE, SYRACUSE, NY 13205
(315) 413-3279
(315) 469-6558

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
144029
NY

Other

Enumeration date
09/06/2006
Last updated
12/06/2007
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