Individual
JOSEPH MARINO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 TOURNAMENT BLVD, BERWICK, LA 70342-2025
(985) 992-0339
Mailing address
311 TOURNAMENT BLVD, BERWICK, LA 70342-2025
(985) 992-0339
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ATH.200233
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2495002445
GILSBAR
LA
Enumeration date
01/14/2014
Last updated
01/14/2014
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