Marino, Mark
Marino, Mark is an individual health care provider with primary practice located at 301 Lakehurst Rd , Toms River NJ 08755-7335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Marino, Mark can be contacted via phone (732) 552-0377.Contact Information
Primary practice address
301 Lakehurst Rd
Toms River NJ 08755-7335
Phone: (732) 552-0377
Fax: (732) 552-0378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA06173800 | New Jersey |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | NJMA61738 | New Jersey |
Profile Details
| NPI number | 1093759631 |
|---|---|
| LBN Legal business name | Marino, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Nov 23rd, 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 | 1093759631 | NPPES |
| New Jersey | MEDICAID | 6559204 |
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