MEDICARE: DR. WILLIAM JAMES MARASCO 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
1	2085R0202X	Diagnostic Radiology Physician	71311	MA
2	2085R0204X	Vascular & Interventional Radiology Physician	71311	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	760277	OTHER	MA	TUFTS HEALTH PLAN
2	J16021	OTHER	MA	BCBS MA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588654891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JAMES MARASCO MD

Provider Business Mailing Address
First Line	:	21 AARONS WAY
Second Line	:
City	:	WEST YARMOUTH
State	:	MA
Zip	:	02673-2593
Country	:	US
Telephone Number	:	508-771-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 AARONS WAY
Second Line	:
City	:	WEST YARMOUTH
State	:	MA
Zip	:	02673-2593
Country	:	US
Telephone Number	:	508-771-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	04/07/2014

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