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Individual

DR. BAPTISTE S MARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9723 NORTHEAST PKWY STE 100, MATTHEWS, NC 28105-9719
(980) 262-3007
(980) 262-3528
Mailing address
PO BOX 1707, MATTHEWS, NC 28106-1707
(336) 240-3500
(877) 546-5252

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
34079
NC
207L00000X
Anesthesiology Physician
34079
NC
207Q00000X
Family Medicine Physician
34079
NC
208100000X
Physical Medicine & Rehabilitation Physician
34079
NC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
34079
NC
2083X0100X
Occupational Medicine Physician
34079
NC
208D00000X
General Practice Physician
Primary
34079
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53917
BCBS
NC
05
8950665
NC
05
TL5072
SC
Enumeration date
11/07/2008
Last updated
07/16/2025
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