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Contact Information

JOSEPH MARINO JR
311 TOURNAMENT BLVD
BERWICK, LA70342-2025
 Phone: 985-992-0339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JOSEPH MARINO JR · (Male)

NPI # 1588086318
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2014
Last updated 01/14/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # ATH.200233
  • LA Other 2495002445 GILSBAR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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