Individual
DR. A MICHAEL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 661-5379
(203) 863-3996
Mailing address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 661-5379
(203) 863-3996
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
014825
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010014825CT01
ANTHEM
CT
01
—
014825
CONNECTICARE
—
01
—
0180124003
CIGNA
—
01
—
0V6202
HEALTHNET
—
01
—
2036295
AETNA
—
01
—
2188669
PHCS
—
01
—
ZS646
OXFORD
—
Enumeration date
07/28/2006
Last updated
09/30/2014
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