IndividualActive
Andrew Marino
NPI 1902696933 · Military Health Care Provider · Fairfield, CA
Provider details
- NPI number
- 1902696933
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
101 Bodin Cir
Fairfield, CA 94535-1809
Phone: (707) 423-3000
Approximate (ZIP-level) locationGet directions
Mailing address
101 Bodin Cir
Fairfield, CA 94535-1809
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-07-02
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.