Provider Demographics
NPI:1881831998
Name:MORINO, TRICIA LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:LYNN
Last Name:MORINO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:TRICIA
Other - Middle Name:L
Other - Last Name:PYHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1100 ROUTE 72 W
Mailing Address - Street 2:STE 201
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2446
Mailing Address - Country:US
Mailing Address - Phone:609-597-0547
Mailing Address - Fax:609-597-8668
Practice Address - Street 1:1100 ROUTE 72 W
Practice Address - Street 2:STE 201
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2446
Practice Address - Country:US
Practice Address - Phone:609-597-0547
Practice Address - Fax:609-597-8668
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08595600207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology