Organization
JOHN CHARLES MAERZ JR MD
Active
Other names
FOOTPRINGS PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C MAERZ M.D. (OWNER)
(607) 770-4543
Entity
Organization
Contact information
Practice address
27 JENNISON AVE, JOHNSON CITY, NY 13790-2302
(607) 770-4543
(607) 770-0826
Mailing address
111 E FOURTEENTH STREET, ELMIRA HEIGHTS, NY 14903-1303
(607) 734-9539
(607) 734-6293
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
149892
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00711679
—
NY
Enumeration date
03/28/2007
Last updated
06/18/2008
Update your record
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