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Individual

DR. MARK ARTHUR SUGUITAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
722 W 168TH ST, NEW YORK, NY 10032-3727
(313) 339-1946
Mailing address
722 W 168TH ST, NEW YORK, NY 10032-3727

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
293315-1
NY
207P00000X
Emergency Medicine Physician
Primary
4301506633
MI

Other

Enumeration date
05/02/2014
Last updated
06/07/2024
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