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Organization

PATRICK V MARASCO JR, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK V MARASCO JR. MD (PLASTIC SURGEON/OWNER)
(978) 687-3242
Entity
Organization

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
05
3006620
MA
01
706025
TUFTS
MA
01
J05874
BLUE SHIELD
MA
01
M20120
MEDICARE
MA
Enumeration date
09/19/2007
Last updated
11/03/2015
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