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Individual

MRS. THERESA ANN RAPOSO MARQUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS; APA

Contact information

Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7202
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7202

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
021883
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05479543
NY
Enumeration date
04/27/2006
Last updated
08/04/2022
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