Marcellus Medical Group Pllc

NPI #1437780335 in Marcellus, New York

Provider Information

NPI Number: 1437780335
Entity Type: Organization
Organization Name: Marcellus Medical Group Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jan 29, 2020
Last Updated: Aug 4, 2020

Practice Location

Address: 1/2 ORANGE ST
City: Marcellus
State: New York
ZIP Code: 13108-1216
Phone: (317) 673-1529

Authorized Official

Name: KHATUNA N STEPKOVITCH, MD
Title: PHYSICIAN/OWNER
Phone: (315) 673-1529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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