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Individual

DR. MARCELA MARTHA VERGARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 241-9464
(212) 423-0986
Mailing address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 241-9464
(212) 423-0986

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
237136
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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