Individual
MARLENE HAJAL EL-HAJAL MOUAIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
117 NORTH MECHANIC STREET, CARTHAGE, NY 13619
(315) 493-4187
(315) 493-4188
Mailing address
16511 DEER RUN RD, WATERTOWN, NY 13601-5365
(315) 583-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206834-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310852
—
NY
Enumeration date
03/09/2007
Last updated
08/13/2014
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