Individual
RICHARD T MARINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3157
(207) 662-4257
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD16511
ME
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD16511
ME
Other
Enumeration date
07/05/2006
Last updated
12/08/2018
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