DR. Marvin Maisonave, MD

NPI #1801095294 in Bath, New York

Provider Information

NPI Number: 1801095294
Entity Type: Individual
Name: DR. Marvin Maisonave, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Jul 16, 2007
Last Updated: Jul 16, 2007

Practice Location

Address: 7571 STATE ROUTE 54
City: Bath
State: New York
ZIP Code: 14810-9504
Phone: (315) 589-9657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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