MRS. Mary Molascon Ditzer, P.A.

NPI #1801983846 in Oswego, New York

Provider Information

NPI Number: 1801983846
Entity Type: Individual
Name: MRS. Mary Molascon Ditzer, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Oct 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 110 W 6TH ST
Address 2: OSWEGO HOSPITAL
City: Oswego
State: New York
ZIP Code: 13126-2507
Phone: (315) 349-5598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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