Individual
DR. DEAN JOHN MARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2068 BROUGHTON ST, CARMEL, IN 46032-7311
(860) 977-9805
(830) 867-5917
Mailing address
2068 BROUGHTON ST, CARMEL, IN 46032-7311
(860) 977-9805
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
0102201558
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
05010776L
PA
208VP0014X
Interventional Pain Medicine Physician
045817
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
O200621A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010063701
—
VA
01
—
0194252001
CIGNA
—
01
—
138385
HEALTHKEEPERS
—
01
—
150684200
OWCP FED WC VIA ACS
—
01
—
54-1951442
BENESIGHT
—
01
—
78158
SENTARA FAMILY CARE
—
01
—
7906558
AETNA
—
Enumeration date
08/17/2005
Last updated
09/29/2021
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