Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN A MARINO, MD
Active Sole ProprietorGLEN A MARINO, MD is a Electrodiagnostic Medicine healthcare provider located in POTTSVILLE, Pennsylvania. NPI 1902804511 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · POTTSVILLE, PA
Registration Details
- NPI Number
- 1902804511
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (21.120886473573 yrs)
- Last Updated
- Oct 17, 2007
- License
-
MD046567L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
420 S JACKSON STPOTTSVILLE, PA, 179013625Browse PA providers · Browse ZIP 17901
- Phone
- 5706215210
- Fax
- 5706219301
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.