Individual
DIANE M MARINKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
3 FARRINGTON ST, VAUXHALL, NJ 07088-1307
(973) 971-7185
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-7185
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NN08732900
NJ
Other
Enumeration date
09/16/2006
Last updated
07/17/2007
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