Individual
MARCELLO GUGLIELMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1775 GRAND COUNCOURSE, 6 TH FLOOR, BRONX-LEBANON HOSPITAL CENTER, NEW YORK, NY 10453
(216) 903-2162
Mailing address
1775 GRAND CONCOURSE, BRONX-LEBANON HOSPITAL CENTER, BRONX, NY 10453-8202
(216) 903-2162
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
056946-1
NY
Other
Enumeration date
05/18/2009
Last updated
10/31/2014
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