Provider Demographics
NPI:1619048238
Name:DOYLE, MARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARINA
Other - Middle Name:N
Other - Last Name:METELITSIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:441 STONETOWN RD
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-1310
Mailing Address - Country:US
Mailing Address - Phone:201-289-2930
Mailing Address - Fax:319-253-6128
Practice Address - Street 1:11 MACKAY AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1273
Practice Address - Country:US
Practice Address - Phone:201-587-0380
Practice Address - Fax:201-587-0384
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2068022084P0800X
NJ2068022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry