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Individual

MARK JOHN MARZANO

Active
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Individual

MARK JOHN MARZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME81325
FL
261QR0200X
Radiology Clinic/Center
ME81325
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260090100
FL
01
51707
BCBS PROVIDER
FL
Enumeration date
07/19/2006
Last updated
02/02/2024
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