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NPI Code Detail

MEDICARE: FRANK T. MARASCALCO, M.D., P.A.

MEDICARE: FRANK T. MARASCALCO, M.D., P.A.
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
1174400000XSpecialistMS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629293113
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANK T. MARASCALCO, M.D., P.A.
Provider Business Mailing Address
First Line : 2000 N STATE ST
Second Line :
City : CLARKSDALE
State : MS
Zip : 38614-6100
Country : US
Telephone Number : 662-627-7361
Fax Number : 662-627-1158
Provider Business Practice Location Address
First Line : 2000 N STATE ST
Second Line :
City : CLARKSDALE
State : MS
Zip : 38614-6100
Country : US
Telephone Number : 662-627-7361
Fax Number : 662-627-1158
Authorized Official
Title or Position : OBSTETRICS AND GYNECOLOGY
Name : DR. FRANK T. MARASCALCO
Credential : M.D.
Telephone Number : 662-627-7361
Provider Enumeration Date : 04/17/2007
Last Update Date : 08/22/2020

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