Glen A Marino in Pottsville - Neuromusculoskeletal Medicine & Omm
Glen A Marino - NPI 1902804511
Glen A Marino is a Neuromusculoskeletal Medicine & Omm in Pottsville, Pennsylvania. Glen A Marino practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Glen A Marino is 1902804511. The last update date is 2007-10-17.
Glen A Marino's current location address is 420 S Jackson St, Pottsville, Pennsylvania. You can contact this provider via phone number 5706215210 and fax number 5706219301. The mailing address for Glen A Marino is 420 S Jackson St, Pottsville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen A Marino |
|---|---|
| Address | 420 S Jackson St, Pottsville, Pennsylvania |
| Phone Number | 5706215210 |
| Fax Number | 5706219301 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902804511 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 420 S Jackson St |
|---|---|
| City | Pottsville |
| State | Pennsylvania (PA) |
| Post Code | 1790136250 |
| Phone Number | 5706215210 |
| Fax Number | 5706219301 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|---|
| Taxonomy | 204D00000X |
| Licence No | MD046567L |
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Definition: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12823420005 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Glen A Marino by the Centers for Medicare & Medicaid Services?
The Glen A Marino has been assigned the NPI (National Provider Identifier) 1902804511. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Glen A Marino located?
The Glen A Marino is located at 420 S Jackson St, Pottsville, PA 1790136250.
What is the Glen A Marino's area of specialization and corresponding taxonomy classification?
The Glen A Marino's specialty field is Neuromusculoskeletal Medicine & Omm, and it falls under the taxonomy code 204D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902804511 to Glen A Marino?
The Centers for Medicare & Medicaid Services originally issued the 1902804511 to Glen A Marino on 2005-07-08.
As of what date were the details pertaining to Glen A Marino last refreshed?
The information related to the Glen A Marino, including its address, specialty, and other relevant details, was last updated on 2007-10-17.