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NPI Code Detail

MEDICARE: VINCENT C. MARINO DPM, INC.

MEDICARE: VINCENT C. MARINO DPM, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesE3530CA

General Provider Information

NPI Number : 1013087444
Entity Type Code : Organization
Provider Name (Legal Business Name) : VINCENT C. MARINO DPM, INC.
Provider Business Mailing Address
First Line : 430 DAVIS CT
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-2402
Country : US
Telephone Number : 415-984-2700
Fax Number : 415-984-9920
Provider Business Practice Location Address
First Line : 430 DAVIS CT
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-2402
Country : US
Telephone Number : 415-984-2700
Fax Number : 415-984-9920
Authorized Official
Title or Position : PRESIDENT
Name : VINCENT C. MARINO
Credential : M. D.
Telephone Number : 415-984-2700
Provider Enumeration Date : 11/09/2006
Last Update Date : 08/22/2020

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Directions to “VINCENT C. MARINO DPM, INC. ” Practice Location

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