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NPI 1003865262

NPI 1003865262 : MARCOS M CHERTMAN M.D. : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1003865262
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    Entity Type          |    Individual 
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    Provider Name        |    MARCOS M CHERTMAN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/08/2006
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    Last Update Date     |    03/16/2015
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Provider Practice Location Address
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    Address Line         |    1321 NW 14TH ST SUITE 304
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33125-1673
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    Country              |    US
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    Telephone            |    305-324-5481
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    Fax                  |    305-324-7852
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Provider Business Mailing Address
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    Address Line         |    1321 NW 14TH ST SUITE 304
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33125-1673
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    Country              |    US
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    Telephone            |    305-324-5481
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    Fax                  |    305-324-7852
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    ME0030210
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    License Number State |    FL
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