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Individual

MRS. GINA MARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-PNP

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601
(551) 996-5329
(551) 996-0115
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601
(551) 996-5329
(551) 996-0115

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00129200
NJ
363LP0200X
Pediatric Nurse Practitioner
F381899-1
NY

Other

Enumeration date
06/20/2007
Last updated
08/15/2018
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