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Individual

PATRICK V MARASCO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
43 HIGH ST, SUITE 110B, NORTH ANDOVER, MA 01845-2646
(978) 687-3242
(978) 208-8414
Mailing address
43 HIGH ST, SUITE 110B, NORTH ANDOVER, MA 01845-2646
(978) 687-3242
(978) 208-8414

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
56106
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225020951
MEDICARE MD
MA
05
3006620
MA
01
706025
TUFTS
MA
01
J05874
BLUE SHIELD
MA
01
M20120
MEDICARE CORP
MA
Enumeration date
08/18/2005
Last updated
11/03/2015
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