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Individual

JEFFREY PATRICK MARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
988 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4227
(860) 493-1950
Mailing address
988 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4227
(860) 493-1950

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
072001
GA
207Y00000X
Otolaryngology Physician
Primary
80045
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04532718
MS
05
2398865
LA
Enumeration date
06/22/2009
Last updated
03/05/2026
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