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Individual

MARWAN ATALLAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
142 JORALEMON ST, BROOKLYN, NY 11201-4709
(718) 643-9371
Mailing address
PO BOX 117, BROOKLYN, NY 11228-0117

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
128270
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00247232
NY
Enumeration date
05/30/2006
Last updated
04/10/2008
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