Organization
JOHN A MARASCALCO, MD, PA
Active
Other names
MARASCALCO DERMATOLOGY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A MARASCALCO MD (PRESIDENT)
(662) 227-4463
Entity
Organization
Contact information
Practice address
1300 SUNSET DR, SUITE A, GRENADA, MS 38901-4086
(662) 227-4463
(662) 226-5257
Mailing address
1300 SUNSET DR, SUITE A, GRENADA, MS 38901-4086
(662) 227-4463
(662) 226-5257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
06/18/2008
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