Mary A Rouse

NPI #1225390768 in Johnson City, New York

Provider Information

NPI Number: 1225390768
Entity Type: Individual
Name: Mary A Rouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 18 BROAD ST
City: Johnson City
State: New York
ZIP Code: 13790-2106
Phone: (607) 798-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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