Marino, Mark Jude

Marino, Mark Jude is an individual health care provider with primary practice located at 4228 Houma Blvd Suite 520, Metairie LA 70006-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Marino, Mark Jude can be contacted via phone (504) 456-8020.

Contact Information

Primary practice address
4228 Houma Blvd Suite 520 Metairie LA 70006-3000
Fax: (504) 456-8021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 024818 Louisiana

Profile Details

NPI number 1497861314
LBN Legal business name Marino, Mark Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Nov 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497861314 NPPES
Louisiana MEDICAID 1576026

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