Individual
DR. DON E MARASCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 20TH AVE, MERIDIAN, MS 39301-4121
(601) 485-2368
(601) 693-2174
Mailing address
PO BOX 1551, MERIDIAN, MS 39302-1551
(601) 485-2368
(601) 693-2174
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MS009634
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116642
—
MS
05
—
051550436
—
AL
01
—
180041626
RAILROAD MEDICARE
MS
01
—
180041976
RAILROAD MEDICARE
AL
01
—
CH5554
RAILROAD MEDICARE GROUP
MS
01
—
CH6608
RAILROAD GROUP ID
AL
Enumeration date
07/27/2006
Last updated
05/19/2008
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