MEDICARE: DAVID PAUL MARINI

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
1	183500000X	Pharmacist	28RI02548500	NJ

General Provider Information

NPI Number	:	1427645639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PAUL MARINI

Provider Business Mailing Address
First Line	:	1817 MOUNT HOLLY RD
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-4700
Country	:	US
Telephone Number	:	609-387-1063
Fax Number	:	609-386-0259

Provider Business Practice Location Address
First Line	:	1817 MOUNT HOLLY RD
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-4700
Country	:	US
Telephone Number	:	609-387-1063
Fax Number	:	609-386-0259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2020
Last Update Date	:	12/22/2020

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Directions to “ DAVID PAUL MARINI ” Practice Location

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