Individual
MR. MARCUS BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
200 N PROSPECT ST, SUITE 101, HERKIMER, NY 13350-1966
(315) 866-6728
Mailing address
200 N PROSPECT ST APT 137, HERKIMER, NY 13350-1962
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000002767
NY
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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