Individual
MARIJA DRAGICA MUTABDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
98 N 2ND ST, FULTON, NY 13069-1254
(315) 326-3555
Mailing address
4 COUNTRY LN, OSWEGO, NY 13126-4100
(315) 216-6995
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
260428
NY
Other
Enumeration date
08/27/2006
Last updated
07/01/2011
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