| Doctor Name: | DR. MARIEL GAZMEN CARINO |
| NPI Number: | 1760607204 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD 033780 L |
| Business Practice Address: | 117 Susquehanna Ave Olyphant, PA - 18447 |
| Business Phone Number: | 5703830275 |
| Business Fax Number: | |
| Mailing Address: | 229 Medjay Ln, TOMS RIVER |
| State: | NJ |
| Postal Code: | 08755 |
| Phone Number: | 7326086203 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD 033780 L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |