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Individual

JOHAM SENIOR MARINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PISO 1 SUITE 104A, BAYAMON MEDICAL PLAZA, BAYAMON, PR 00960
(787) 798-9522
(787) 798-9500
Mailing address
PO BOX 365, BAYAMON, PR 00960-0365
(787) 798-9522
(787) 798-9522

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
7863
PR

Other

Enumeration date
03/20/2006
Last updated
11/17/2010
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