Marvin J Base, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Rego Park, NY

NPI

1366401853

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

187770 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-03-22

Last updated

2024-12-11