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Individual
DR. MARIEL GAZMEN CARINO
Active
Individual
DR. MARIEL GAZMEN CARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD 033780 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005183329
AETNA
TX
01
—
E405
GEISINGER HEALTH PLAN
PA
Enumeration date
04/17/2007
Last updated
07/08/2007
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