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Individual

DR. THOMAS JOHN MARINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
1450 PARKSIDE AVE, SUITE 8, EWING, NJ 08638-2946
(609) 883-2020
(609) 883-7380
Mailing address
1450 PARKSIDE AVE, SUITE 8, EWING, NJ 08638-2946
(609) 883-2020
(609) 883-7380

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NJ 2878
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1323105
NJ
01
521181
MEDICARE PTAN
NJ
Enumeration date
06/22/2006
Last updated
11/04/2015
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