Marino, Thomas John

Marino, Thomas John is an sole proprietor health care provider with primary practice located at 1450 Parkside Ave Suite 8, Ewing NJ 08638-2946. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marino, Thomas John can be contacted via phone (609) 883-2020.

Contact Information

Primary practice address
1450 Parkside Ave Suite 8 Ewing NJ 08638-2946
Fax: (609) 883-7380
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NJ 2878 New Jersey

Profile Details

NPI number 1568408839
LBN Legal business name Marino, Thomas John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Nov 4th, 2015 - about 10 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 1568408839 NPPES
New Jersey MEDICAID 1323105
New Jersey Other 521181

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