Provider Demographics
NPI:1295700862
Name:SODUMS, MARCIS TOTS (MD)
Entity type:Individual
Prefix:DR
First Name:MARCIS
Middle Name:TOTS
Last Name:SODUMS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1301 TRUMANSBURG RD
Mailing Address - Street 2:SUITE P
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1397
Mailing Address - Country:US
Mailing Address - Phone:607-277-2365
Mailing Address - Fax:607-277-0104
Practice Address - Street 1:310 TAUGHANNOCK BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-3251
Practice Address - Country:US
Practice Address - Phone:607-269-0100
Practice Address - Fax:607-269-0177
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2015-02-23
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Provider Licenses
StateLicense IDTaxonomies
PAMD036869E207RC0000X, 207RI0011X
NY154828-1207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease