Provider Demographics
NPI:1962267310
Name:MARIANO, JOSEPH D (PA-C)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:MARIANO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:113 BIDDIE LN
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-3363
Mailing Address - Country:US
Mailing Address - Phone:828-361-0865
Mailing Address - Fax:
Practice Address - Street 1:2751 BUSINESS 19
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:NC
Practice Address - Zip Code:28901-8097
Practice Address - Country:US
Practice Address - Phone:828-321-4510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant