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NPI Code Detail

MEDICARE: DR. GERALD MARSOCCI MD

MEDICARE:  DR. GERALD  MARSOCCI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianL4017RI

General Provider Information

NPI Number : 1386649523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD MARSOCCI MD
Provider Business Mailing Address
First Line : 725 RESERVOIR AVE
Second Line : STE 202
City : CRANSTON
State : RI
Zip : 02910-4451
Country : US
Telephone Number : 401-943-8824
Fax Number : 401-943-8854
Provider Business Practice Location Address
First Line : 725 RESERVOIR AVE
Second Line : STE 202
City : CRANSTON
State : RI
Zip : 02910-4451
Country : US
Telephone Number : 401-943-8824
Fax Number : 401-943-8854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GERALD MARSOCCI MD” Practice Location

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