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Individual

ROBERT T MARIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(757) 889-5422
(757) 889-5050
Mailing address
110 KINGSLEY LN STE 305, NORFOLK, VA 23505-4617
(757) 889-5422
(757) 889-5450

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101231178
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101231178
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7240465
VA
Enumeration date
03/30/2006
Last updated
06/18/2019
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