Individual
ANTHONY MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 JACKSON ST, METHUEN, MA 01844
(978) 689-2540
Mailing address
99 JACKSON ST, SALLY G, METHUEN, MA 01844
(978) 629-2540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46674
MA
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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