Individual
LORI MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
151 WASHINGTON ST, NEWARK, NJ 07102-3026
(973) 622-3900
(973) 622-1698
Mailing address
151 WASHINGTON ST, NEWARK, NJ 07102-3026
(973) 622-3900
(973) 622-1698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00179800
NJ
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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