Individual
JOSEPH M MARRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 692-3302
Mailing address
PO BOX 8000, DEPT. 194, BUFFALO, NY 14267-0002
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
193607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01753795
—
NY
Enumeration date
04/26/2006
Last updated
07/08/2007
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