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Individual

MARKO MAMIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
535 E 70TH ST, NEW YORK, NY 10021
(212) 606-1793
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4898
(212) 606-1793

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.065593
IL
207L00000X
Anesthesiology Physician
Primary
291757
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2014
Last updated
07/17/2018
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