Individual
MARYLENE DUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9367
(315) 786-7300
(315) 786-7310
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9367
(315) 786-7300
(315) 786-7310
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
224086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354316
—
NY
Enumeration date
05/10/2006
Last updated
05/02/2011
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