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Organization
RICHARD A MARASA MD PC
Active
Organization
RICHARD A MARASA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MARASA MD (OWNER)
(802) 356-0255
Entity
Organization
Contact information
Practice address
100 CUMMINGS CTR STE 428C, BEVERLY, MA 01915-6122
(800) 270-2302
(978) 852-7099
Mailing address
PO BOX 855, SPRINGFIELD, VT 05156
(802) 356-0255
(804) 612-5201
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15037
MEDICAL LICENSE
NH
01
—
282042
MEDICAL LICENSE
MA
05
—
3079550
—
NH
05
—
PENDING
—
MA
Enumeration date
01/05/2021
Last updated
05/23/2024
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