Individual
DR. PAUL THOMAS MARCACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
639 METACOM AVE, WARREN, RI 02885-2348
(401) 245-1500
(401) 247-2618
Mailing address
639 METACOM AVE, WARREN, RI 02885-2348
(401) 245-1500
(401) 247-2618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD07879
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003986
—
RI
Enumeration date
07/07/2006
Last updated
05/22/2008
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