Individual
DR. MICHAEL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
(215) 663-6677
(215) 663-6265
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2011012181
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD445926
PA
Other
Enumeration date
06/22/2008
Last updated
06/15/2012
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