Doctor Name: | MARK MARINO |
NPI Number: | 1093759631 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | NJMA61738 |
Business Practice Address: | 301 Lakehurst Rd Toms River, NJ - 087557335 |
Business Phone Number: | 7325520377 |
Business Fax Number: | 7325520378 |
Mailing Address: | 101 2nd St, LAKEWOOD |
State: | NJ |
Postal Code: | 087013324 |
Phone Number: | 7327199010 |
Fax Number: | 7329010277 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 11/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | NJMA61738 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |