Most Relevant Information
Provider Data
NPI Number: | 1003032962 |
Provider Name: | BONNIE LEE MARR MD |
Entity Type: | Individual |
Taxonomy Code: | 2080N0001X |
Specialty: | Pediatrics |
License Number: | 184692 |
Most Important Dates
Enumeration Date: | 04/18/2007 |
Last Updated: | 12/22/2016 |
Provider Practice Location
736 IRVING AVE STE 9100
SYRACUSE
NY
132101687
Practice Location Phone/Fax
Phone: | 3154707379 |
Fax: | 3154702923 |
Provider Mailing Location
736 IRVING AVE STE 9100
SYRACUSE
NY
132101687
Provider Mailing Phone/Fax
Phone: | 3154707379 |
Fax: | 3154702923 |