Marenco, John P

Marenco, John P is an individual health care provider with primary practice located at 300 Stafford St Ste 154 , Springfield MA 01104-3583. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Marenco, John P can be contacted via phone (413) 748-7095.

Contact Information

Primary practice address
300 Stafford St Ste 154 Springfield MA 01104-3583
Phone: (413) 748-7095
Fax: (413) 733-5604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 157824 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 157824 Massachusetts

Profile Details

NPI number 1669441374
LBN Legal business name Marenco, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jun 28th, 2021 - about 5 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 1669441374 NPPES
Massachusetts MEDICAID 0190471

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