Edward J. Marcaccio JR.
Vascular Surgeon
2 Dudley St Suite 470
Providence
, Rhode Island 02905-3236
Edward J. Marcaccio JR.
Vascular Surgeon
2 Dudley St Suite 470
Providence
, Rhode Island 02905-3236
(401) 435-7069
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Edward J. Marcaccio JR.
- Po Box 16149
- Rumford, RI
- Zip : 02916-0697
- Fax : (401) 435-7069
- Phone : (401) 453-9625
Second Address
- Edward J. Marcaccio JR.
- 2 Dudley St Suite 470
- Providence, RI
- Zip : 02905-3236
- Fax : (401) 868-2307
- Phone : (401) 553-8318
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | MD08399 | RI |
National Provider Identifier
| NPI | 1073511218 |
|---|---|
| Provider Name | Edward J. Marcaccio JR. |
| First Address | Rumford, RI 02916-0697 |
| Second Address | Providence, RI 02905-3236 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2005 |
| Last Update Date | 22/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3089657 | (05) | MA |
| 7003376 | (05) | RI |
| F19555 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.