Individual
RICHARD A MARASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7220
(802) 674-7006
Mailing address
PO BOX 855, SPRINGFIELD, VT 05156-0855
(802) 356-0255
(802) 885-1141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042-0008688
VT
207P00000X
Emergency Medicine Physician
Primary
15037
NH
207P00000X
Emergency Medicine Physician
282042
MA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
15037
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0577
—
VT
01
—
15037
LICENSE
NH
05
—
3079550
—
NH
Enumeration date
09/20/2005
Last updated
06/04/2024
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