NPI 1073511218

Edward J. Marcaccio, MD

Practitioner Vascular Surgery Physician Providence, RI

Practice location

Address: 2 Dudley St Suite 470, Providence, RI 02905-3236
Phone: (401) 553-8318
Fax: (401) 868-2307
Mailing address: PO Box 16149, Rumford, RI 02916-0697

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence MD08399 (RI)

Other Surgery providers in Rhode Island →

Registry record

NPI: 1073511218
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2005
Record last updated: 12 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.