Patrick V Marasco JR.
Plastic and Reconstructive Surgery
43 High St Suite 110b
North Andover
, Massachusetts 01845-2646
Patrick V Marasco JR.
Plastic and Reconstructive Surgery
43 High St Suite 110b
North Andover
, Massachusetts 01845-2646
(978) 208-8414
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Patrick V Marasco JR.
- 43 High St Suite 110b
- North Andover, MA
- Zip : 01845-2646
- Fax : (978) 208-8414
- Phone : (978) 687-3242
Second Address
- Patrick V Marasco JR.
- 43 High St Suite 110b
- North Andover, MA
- Zip : 01845-2646
- Fax : (978) 208-8414
- Phone : (978) 687-3242
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 56106 | MA |
National Provider Identifier
| NPI | 1225020951 |
|---|---|
| Provider Name | Patrick V Marasco JR. |
| First Address | North Andover, MA 01845-2646 |
| Second Address | North Andover, MA 01845-2646 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 03/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1225020951 | MEDICARE MD (01) | MA |
| 3006620 | (05) | MA |
| 706025 | TUFTS (01) | MA |
| E74595 | (02) | |
| J05874 | BLUE SHIELD (01) | MA |
| M20120 | MEDICARE CORP (01) | MA |
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.