Provider Demographics
NPI:1477732550
Name:AFILALO, MARC (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:AFILALO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6516 MERTON ROAD
Mailing Address - Street 2:
Mailing Address - City:COTE ST LUC
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H4V 1C2
Mailing Address - Country:CA
Mailing Address - Phone:514-979-0227
Mailing Address - Fax:514-221-4052
Practice Address - Street 1:3755 COTE ST CATHERINE ROAD
Practice Address - Street 2:
Practice Address - City:MONTREAL
Practice Address - State:QUEBEC
Practice Address - Zip Code:H3T 1E2
Practice Address - Country:CA
Practice Address - Phone:514-340-8222
Practice Address - Fax:514-340-7519
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA213964207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine