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Individual

GENNARO JOSEPH MARINO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
97 WEST PARKWAY, CHILTON MEMORIAL HOSPITAL, POMPTON PLAINS, NJ 07444
(973) 831-5000
Mailing address
PO BOX 8500-2721, CHILTON EMERGENCY PHYSICIANS LLC, PHILADELPHIA, PA 19178-2721
(800) 777-2455
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB05502900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5346703
NJ
Enumeration date
05/03/2006
Last updated
07/08/2007
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