Individual
DR. FREDERICK J MARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 MAIN STREET, COHOES, NY 12047
(518) 237-0019
(518) 237-5461
Mailing address
100 MAIN STREET, COHOES, NY 12047
(518) 237-0019
(518) 237-5461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035737
NY
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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