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1366401853
MARVIN J BASE
REGO PARK, NY
NPI
1366401853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 187770)
Enumeration Date
2006-03-22
Last Update Date
2019-01-30
Business Address
DR. MARVIN J BASE M.D.
65-11 BOOTH STREET SUITE 1C
REGO PARK, NY 11374-4184
Phone number: 718-806-1434
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Mailing Address
DR. MARVIN J BASE M.D.
65-11 BOOTH STREET SUITE 1C
REGO PARK, NY 11374-4184
Phone number: 718-806-1434
Copy
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