Individual
DR. JOHN A MARASCALCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
207N00000X
Dermatology Physician
Primary
03756
MS
Other
Enumeration date
08/30/2006
Last updated
01/26/2012
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