Individual
MARINA JEAN COONEY
Active
Individual
MARINA JEAN COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD054029L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015419540005
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
01/13/2006
Last updated
01/06/2012
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