Individual
JOHN P MARENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 STAFFORD ST STE 154, SPRINGFIELD, MA 01104-3583
(413) 748-7095
(413) 733-5604
Mailing address
2 MEDICAL CENTER DR, SUITE 410, SPRINGFIELD, MA 01107-1270
(413) 781-5735
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
157824
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
157824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190471
—
MA
Enumeration date
03/15/2006
Last updated
06/28/2021
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