Organization
JOSEPH T. MARINO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T. MARINO JR. M.D. (PRESIDENT/PHYSICIAN)
(916) 962-3112
Entity
Organization
Contact information
Practice address
6660 COYLE AVENUE, SUITE 330, CARMICHAEL, CA 95608-0303
(916) 962-3112
(916) 962-1536
Mailing address
6660 COYLE AVENUE, SUITE 330, CARMICHAEL, CA 95608-0303
(916) 962-3112
(916) 962-1536
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G38742
CA
2080P0214X
Pediatric Pulmonology Physician
G38742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G387420
—
CA
Enumeration date
07/26/2006
Last updated
03/02/2011
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