Provider Demographics
NPI:1821041104
Name:MARINELLI, PHILIP VINCENT (DO)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:VINCENT
Last Name:MARINELLI
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1301 PENNSYLVANIA AVE
Mailing Address - Street 2:DEPT NEONATOLOGY PEDIATRIX MEDICAL GRP OF TX PA
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2122
Mailing Address - Country:US
Mailing Address - Phone:817-250-2892
Mailing Address - Fax:817-250-5335
Practice Address - Street 1:1301 PENNSYLVANIA AVE
Practice Address - Street 2:DEPT NEONATOLOGY PEDIATRIX MEDICAL GRP OF TX PA
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2122
Practice Address - Country:US
Practice Address - Phone:817-250-2892
Practice Address - Fax:817-250-5335
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2009-05-22
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Provider Licenses
StateLicense IDTaxonomies
TXM53502080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine