Edward J Marcaccio Jr., MD
Healthcare Provider in Providence, Rhode Island
1073511218- Practice location
- 2 Dudley St, Suite 470, Providence, RI 02905-3236
- Phone
- 401-553-8318
- Fax
- 401-868-2307
- Last updated
- July 12, 2024
Edward J. Marcaccio is a Healthcare Provider based in Providence, RI. Edward J. Marcaccio practices in Providence, RI and has the professional credentials of MD. The NPI Number for Edward J. Marcaccio is 1073511218 and holds a License No. MD08399 (RI). The current practice location address for Edward J. Marcaccio is 2 Dudley St, Suite 470, Providence, RI 02905-3236 and can be reached out via phone at 401-553-8318 and via fax at 401-868-2307.
Provider Profile Details
- NPI Number
- 1073511218
- Provider Name
- Edward J. Marcaccio
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2 Dudley St, Suite 470, Providence, RI 02905-3236
- Phone Number
- 401-553-8318
- Fax Number
- 401-868-2307
- Primary Taxonomy
- Healthcare Provider · 2086S0129X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 12, 2005
- Last Update Date
- July 12, 2024
- Certification Date
- July 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Dudley St
Suite 470
Providence, RI 02905-3236 - City
- Providence
- State
- Rhode Island
- Zip
- 02905-3236
- Phone Number
- 401-553-8318
- Fax Number
- 401-868-2307
Provider Business Mailing Address Details
- Address
- Po Box 16149
Rumford, RI 02916-0697 - City
- Rumford
- State
- RI
- Zip
- 02916-0697
- Phone Number
- 401-453-9625
- Fax Number
- 401-435-7069
License Information
- License Number
- MD08399
- License State
- RI
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Healthcare Providers near Providence, RI
View all Healthcare Providers in Providence →Frequently Asked Questions
What is the NPI number of Edward J Marcaccio Jr., MD?
The NPI number of Edward J Marcaccio Jr., MD is 1073511218. It was assigned on July 12, 2005 and is currently active in the NPPES registry.
What is the specialty of Edward J Marcaccio Jr., MD?
Edward J Marcaccio Jr., MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in RI under license number MD08399.
Where does Edward J Marcaccio Jr., MD practice?
The practice location is 2 Dudley St, Suite 470, Providence, RI 02905-3236. The office can be reached at 401-553-8318 (phone) or 401-868-2307 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073511218 directly on the NPPES registry website.