Marino, Louis J.

Marino, Louis J. is an individual health care provider with primary practice located at 345 Blackstone Blvd , Providence RI 02906-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Marino, Louis J. can be contacted via phone (401) 455-6200.

Contact Information

Primary practice address
345 Blackstone Blvd Providence RI 02906-4800
Fax: (401) 455-6309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD09220 Rhode Island
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD09220 Rhode Island

Profile Details

NPI number 1194739607
LBN Legal business name Marino, Louis J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated May 6th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194739607 NPPES
Rhode Island MEDICAID 9025185
Rhode Island Other 1093831646
Rhode Island Other 1104801349
Rhode Island Other 15-37842
Rhode Island Other 25185-7
Rhode Island Other 400061

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