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Individual
MARINO D TAVAREZ
Active
Individual
MARINO D TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12860
HI
207Q00000X
Family Medicine Physician
Primary
232852
NY
207Q00000X
Family Medicine Physician
MD441558
PA
2083P0901X
Public Health & General Preventive Medicine Physician
12860
HI
2083P0901X
Public Health & General Preventive Medicine Physician
232852
NY
2083P0901X
Public Health & General Preventive Medicine Physician
MD441558
PA
Other
Enumeration date
10/19/2006
Last updated
01/05/2015
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