Individual
DR. GARY R MARECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914
(401) 432-2500
Mailing address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914
(401) 432-2500
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD08435
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003400
—
RI
Enumeration date
11/21/2005
Last updated
07/10/2015
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