Individual
DR. JOSEPH T. MARINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 MERCY CT STE 180B, FAIR OAKS, CA 95628-3198
(916) 962-3112
(916) 962-1536
Mailing address
1111 EXPOSITION BLVD STE 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 233-4171
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G387420
CA
2080P0214X
Pediatric Pulmonology Physician
G387420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G38742
—
CA
Enumeration date
03/27/2007
Last updated
05/14/2020
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