Individual
MARK JUDE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4228 HOUMA BLVD, SUITE 520, METAIRIE, LA 70006-3000
(504) 456-8020
(504) 456-8021
Mailing address
1111 MEDICAL CENTER BLVD, SUITE S-450, MARRERO, LA 70072-3151
(504) 349-6423
(504) 349-6062
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
024818
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576026
—
LA
Enumeration date
08/22/2006
Last updated
11/14/2013
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