Organization
FREDERICK J. MARRA, D.M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M WARD (OFFICE MGR.)
(518) 237-0019
Entity
Organization
Contact information
Practice address
100 MAIN ST, COHOES, NY 12047-4404
(518) 237-0019
(518) 237-5461
Mailing address
100 MAIN ST, COHOES, NY 12047-4404
(518) 237-0019
(518) 237-5461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035737
NY
Other
Enumeration date
01/23/2007
Last updated
06/08/2009
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