Active NPIIndividual provider

Marc C Restuccia, MD

Emergency Medicine in Worcester, Massachusetts

NPI Number1104801778
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
508-421-1490
Last updated
April 27, 2021

Marc C. Restuccia is an Emergency Medicine based in Worcester, MA. Marc C. Restuccia practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Marc C. Restuccia is 1104801778 and holds a License No. 55857 (MA). The current practice location address for Marc C. Restuccia is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-421-1400 and via fax at 508-421-1490.

Provider Profile Details

NPI Number
1104801778
Provider Name
Marc C. Restuccia
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-421-1400
Fax Number
508-421-1490
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2005
Last Update Date
April 27, 2021
Certification Date
April 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-421-1400
Fax Number
508-421-1490
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
13 Elliott RD
Sterling, MA 01564-2005
City
Sterling
State
MA
Zip
01564-2005

License Information

License Number (1)
55857
License State (1)
MA
License Number (2)
55857
License State (2)
MA
Taxonomy (2)
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marc C Restuccia, MD?

The NPI number of Marc C Restuccia, MD is 1104801778. It was assigned on December 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Marc C Restuccia, MD?

Marc C Restuccia, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 55857.

Where does Marc C Restuccia, MD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-421-1400 (phone) or 508-421-1490 (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 1104801778 directly on the NPPES registry website.

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