Individual
AMANDA MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 686-2900
Mailing address
613 PARK AVE FL 2, EAST ORANGE, NJ 07017-1905
(973) 672-8573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10078200
NJ
Other
Enumeration date
07/09/2015
Last updated
09/08/2020
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