Individual
MARC A MEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 HONEY HOLLOW RD, QUEENSBURY, NY 12804-9116
(518) 793-1000
Mailing address
18 HONEY HOLLOW RD, QUEENSBURY, NY 12804-9116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
207891
NY
2085R0204X
Vascular & Interventional Radiology Physician
207891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01770709
—
NY
Enumeration date
09/26/2005
Last updated
11/06/2013
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