Individual
MICHAEL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6850 LOWS RD, BLOOMSBURG, PA 17815-8708
(570) 271-7089
(570) 271-7064
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4093
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS008043L
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
OS008043L
PA
Other
Enumeration date
11/15/2005
Last updated
08/11/2020
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