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Individual

DR. GREGORIO T. MARIANO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
VA MEDICAL CENTER, 2907 PLEASANT VALLEY BLVD., ALTOONA, PA 16602-4377
(814) 943-8164
Mailing address
320 BRISTOL LN, HOLLIDAYSBURG, PA 16648-2901
(814) 696-2978

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD067679L
PA

Other

Enumeration date
07/05/2006
Last updated
07/08/2007
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