Provider Demographics
NPI:1528335734
Name:MARINO, NICHOLAS S (CRNA)
Entity type:Individual
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First Name:NICHOLAS
Middle Name:S
Last Name:MARINO
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:UNITED ANESTHESIA SERVICES PC
Mailing Address - Street 2:610 W. GERMANTOWN AVENUE - SUITE 150
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462
Mailing Address - Country:US
Mailing Address - Phone:610-525-4966
Mailing Address - Fax:610-525-0874
Practice Address - Street 1:ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL
Practice Address - Street 2:3300 TILLMAN DRIVE
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020
Practice Address - Country:US
Practice Address - Phone:215-244-7400
Practice Address - Fax:215-940-9456
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2023-10-25
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Provider Licenses
StateLicense IDTaxonomies
PARN569710367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered