Provider Demographics
NPI:1184849556
Name:ALBERT J. MARANO, MD, INC
Entity Type:Organization
Organization Name:ALBERT J. MARANO, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MARANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-272-7660
Mailing Address - Street 1:1526 ATWOOD AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3289
Mailing Address - Country:US
Mailing Address - Phone:401-272-7660
Mailing Address - Fax:401-421-2730
Practice Address - Street 1:1526 ATWOOD AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3289
Practice Address - Country:US
Practice Address - Phone:401-272-7660
Practice Address - Fax:401-421-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI083502084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIF58812Medicare UPIN