Marcaccio, Edward J.

Marcaccio, Edward J. is an individual health care provider with primary practice located at 2 Dudley St Suite 470, Providence RI 02905-3236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Marcaccio, Edward J. can be contacted via phone (401) 553-8318.

Contact Information

Primary practice address
2 Dudley St Suite 470 Providence RI 02905-3236
Phone: (401) 553-8318
Fax: (401) 868-2307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD08399 Rhode Island

Profile Details

NPI number 1073511218
LBN Legal business name Marcaccio, Edward J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073511218 NPPES
Massachusetts MEDICAID 3089657
Massachusetts MEDICAID 7003376

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