Provider Demographics
NPI:1609216167
Name:MARINI, JOAN CAROL (MD, PHD)
Entity Type:Individual
Prefix:PROF
First Name:JOAN
Middle Name:CAROL
Last Name:MARINI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 ROCKVILLE PIKE
Mailing Address - Street 2:BLDG. 10; RM 10D39
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1829
Mailing Address - Country:US
Mailing Address - Phone:301-594-3418
Mailing Address - Fax:301-480-3188
Practice Address - Street 1:9000 ROCKVILLE PIKE
Practice Address - Street 2:BLDG. 10; RM 10D39
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1829
Practice Address - Country:US
Practice Address - Phone:301-594-3418
Practice Address - Fax:301-480-3188
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD41458207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)