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Organization

MARROCCO PLASTIC SURGERY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM MARROCCO MD (OWNER)
(317) 815-8985
Entity
Organization

Contact information

Practice address
755 W CARMEL DR, SUITE #202, CARMEL, IN 46032-5877
(317) 815-8985
(317) 815-8982
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 870-6745
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200329230A
IN
Enumeration date
09/06/2006
Last updated
06/30/2008
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