Individual provider · Type 1 NPI

Paul J. Marino, PA-C

Surgical Physician Assistant · Reston, VA

NPI number 1104903871 Active

Practice location

1850 Town Center Pkwy, Suite 301
Reston, VA 20190-3219

Call (703) 709-9701 Map

Fax (703) 709-8084

Mailing address

2012 Swans Neck Way
Reston, VA 20191-4035

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0110840218 (VA)
Physician Assistant 363A00000XC0000402 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1104903871

Paul J. Marino, PA-C's National Provider Identifier is 1104903871, issued on Nov 1, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Reston, VA. The record was last updated on Aug 16, 2021.