Individual
DR. ROBERT JOHN MARINO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1254 BARNUM AVE, STRATFORD, CT 06614-5402
(203) 520-9169
Mailing address
151 BLAKEMAN PL, STRATFORD, CT 06615-5902
(203) 520-9169
(203) 378-7306
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000239
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000239CT03
ANTHEM BLUE CROSS/BLUE SH
CT
Enumeration date
03/10/2006
Last updated
07/08/2007
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