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Organization

MARINO FOUNDATION FOR INTEGRATIVE MEDICINE, INC.

Active
Other names
The Marino Center for Integrative Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT DENOBLE (CEO/PRESIDENT)
(617) 661-6225
Entity
Organization

Contact information

Practice address
2500 MASSACHUSETTS AVENUE, CAMBRIDGE, MA 02140
(617) 661-6225
(617) 492-2002
Mailing address
2500 MASSACHUSETTS AVENUE, CAMBRIDGE, MA 02140
(617) 661-6225
(617) 492-2002

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4804
MA
104100000X
Social Worker
4804
MA
111N00000X
Chiropractor
4804
MA
133V00000X
Registered Dietitian
4804
MA
163W00000X
Registered Nurse
4804
MA
207Q00000X
Family Medicine Physician
4804
MA
207R00000X
Internal Medicine Physician
4804
MA
207V00000X
Obstetrics & Gynecology Physician
4804
MA
208100000X
Physical Medicine & Rehabilitation Physician
4804
MA
2084N0400X
Neurology Physician
4804
MA
2084P0800X
Psychiatry Physician
4804
MA
225100000X
Physical Therapist
4804
MA
363L00000X
Nurse Practitioner
4804
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2521043
AETNA
MA
01
31805
FALLON
MA
01
5716242
CIGNA
MA
01
601647
TUFTS - OTHER
MA
01
805470A
TUFTS -PT
MA
01
805636
TUFTS - CHIRO
MA
01
M17120
BCBS
MA
Enumeration date
08/29/2006
Last updated
12/02/2010
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