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Individual

DR. CUBYSON MARCUS OXLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 770-5000
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5102
(703) 563-6256

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD424816
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011120780002
PA
01
P00148665
RR MEDICARE
PA
Enumeration date
11/21/2005
Last updated
11/25/2015
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