Provider Demographics
NPI:1942295506
Name:MARRINAN, GREG B (MD)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:B
Last Name:MARRINAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 CORPORATE DR STE 325
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6295
Mailing Address - Country:US
Mailing Address - Phone:203-696-6125
Mailing Address - Fax:203-337-9731
Practice Address - Street 1:1 CORPORATE DR STE 325
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6295
Practice Address - Country:US
Practice Address - Phone:203-696-6125
Practice Address - Fax:203-337-9731
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0413442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001413442P1OtherBLUE CARE FAMILY PLAN
CT500HBX051CT01OtherBCBS CT
CTOV9113OtherHEALTH NET
CTP00079638OtherRAILROAD MEDICARE
CT001413442Medicaid
CT2069098OtherUNITED HEALTHCARE
CTANC1162OtherOXFORD HEALTH PLANS
CT061613357OtherCIGNA CT
CT0086989OtherAETNA CT
CTP00079638OtherRAILROAD MEDICARE
CT061613357OtherCIGNA CT