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Individual

MARCEL RAMIRO COLLAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1ST AVE AT 16TH STREET, NEW YORK, NY 10003
(212) 844-1891
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A140577
CA

Other

Enumeration date
06/02/2008
Last updated
09/14/2017
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