Provider Demographics
NPI:1275729428
Name:JOSEPH, MARINA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HIGHLAND AVE
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-7003
Mailing Address - Country:US
Mailing Address - Phone:978-741-9500
Mailing Address - Fax:978-741-3927
Practice Address - Street 1:400 HIGHLAND AVE
Practice Address - Street 2:SUITE #1, NSPG
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-7003
Practice Address - Country:US
Practice Address - Phone:978-741-9500
Practice Address - Fax:978-741-3927
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246167207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine