Provider Demographics
NPI:1659538650
Name:DR DENAY L MARINO FAMILY PRACTICE INC
Entity Type:Organization
Organization Name:DR DENAY L MARINO FAMILY PRACTICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENAY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-463-1122
Mailing Address - Street 1:1 ENTERPRISE DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-3504
Mailing Address - Country:US
Mailing Address - Phone:609-463-1122
Mailing Address - Fax:609-463-9992
Practice Address - Street 1:1 ENTERPRISE DR
Practice Address - Street 2:SUITE D
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-3504
Practice Address - Country:US
Practice Address - Phone:609-463-1122
Practice Address - Fax:609-463-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05202000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty