Organization
MARCELLUS FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J MERRITT (OWNER)
(315) 673-9926
Entity
Organization
Contact information
Practice address
28 1/2 E MAIN ST, MARCELLUS, NY 13108-1226
(315) 673-9926
Mailing address
28 1/2 E MAIN ST, MARCELLUS, NY 13108-1226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
127430
NY
Other
Enumeration date
09/29/2007
Last updated
09/29/2007
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