Individual
DR. DIANA V MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(973) 972-5188
(973) 972-2307
Mailing address
30 BERGEN STREET, BUILDING 12 ROOM 1205, NEWARK, NJ 07107-3000
(972) 972-0037
(973) 972-0743
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
25MA10311000
NJ
2085P0229X
Pediatric Radiology Physician
Primary
286807
NY
2085P0229X
Pediatric Radiology Physician
ME94558
FL
2085R0202X
Diagnostic Radiology Physician
286807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062685
—
NJ
05
—
274212800
—
FL
01
—
286807
NYS MEDICAL LICENSE
NY
Enumeration date
09/23/2005
Last updated
12/28/2023
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