Individual
MARCIA MAUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 787-7300
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116033077
VA
207Q00000X
Family Medicine Physician
Primary
318492
NY
Other
Enumeration date
06/19/2019
Last updated
08/09/2022
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