Individual
DR. MARIEL GAZMEN CARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 SUSQUEHANNA AVE, OLYPHANT, PA 18447
(570) 383-0275
Mailing address
229 MEDJAY LN, TOMS RIVER, NJ 08755
(732) 608-6203
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD 033780 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005183329
AETNA
TX
01
—
E405
GEISINGER HEALTH PLAN
PA
Enumeration date
04/17/2007
Last updated
07/08/2007
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