Organization
GJMEC & LT LLC
Active
Other names
doc visits at home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNARO J MARINO SR. DO (PRESIDENT/CEO)
(201) 650-1855
Entity
Organization
Contact information
Practice address
54 NICOLE DR, DENVILLE, NJ 07834-9531
(201) 650-1855
(973) 366-4315
Mailing address
54 NICOLE DR, DENVILLE, NJ 07834-9531
(201) 650-1855
(973) 366-4315
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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