Marino, Andrew
Marino, Andrew is an individual health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Marino, Andrew can be contacted via phone (508) 765-9771.Contact Information
Primary practice address
100 South St
Southbridge MA 01550-4051
Phone: (508) 765-9771
Fax: (508) 764-2448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 236789 | Massachusetts |
Profile Details
| NPI number | 1164682423 |
|---|---|
| LBN Legal business name | Marino, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2008 |
| Last updated | Dec 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164682423 | NPPES |
| Massachusetts | Other | 002266201 | MEDICARE PTAN |
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