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Individual

DR. MARIUS KILLIAN NIKOLAS DITURSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
M.D., PH.D.

Contact information

Practice address
1495 15TH ST, TROY, NY 12180-4302
(518) 810-4680
Mailing address
1495 15TH ST, TROY, NY 12180-4302
(518) 210-5962

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
263723
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03519624
NY
Enumeration date
05/01/2009
Last updated
04/17/2025
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