Individual
ALTON MARCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(877) 866-7123
Mailing address
PO BOX 961426, ALTON MARCELLO, MD PA, EL PASO, TX 79996-1426
(915) 203-6668
(915) 203-6668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N5221
TX
207V00000X
Obstetrics & Gynecology Physician
N5221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104259
—
TX
Enumeration date
09/28/2007
Last updated
10/08/2014
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