Provider Demographics
NPI:1215169404
Name:MARINO, ANGELO GIUSEPPE (DO)
Entity type:Individual
Prefix:DR
First Name:ANGELO
Middle Name:GIUSEPPE
Last Name:MARINO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:111 FOUNDERS PLAZA
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108
Mailing Address - Country:US
Mailing Address - Phone:860-289-3375
Mailing Address - Fax:860-783-5733
Practice Address - Street 1:85 SEYMOUR ST STE 200
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5509
Practice Address - Country:US
Practice Address - Phone:860-246-6589
Practice Address - Fax:860-289-2914
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT541732085R0202X, 2085R0204X
MA2661592085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology