Individual provider · Type 1 NPI

Edward J. Marcaccio Jr., MD

Vascular Surgery Physician · Providence, RI

NPI number 1073511218 Active

Practice location

2 Dudley St, Suite 470
Providence, RI 02905-3236

Fax (401) 868-2307

Mailing address

PO Box 16149
Rumford, RI 02916-0697

Other practice locations

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 · (401) 738-6611

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XMD08399 (RI)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1073511218

Edward J. Marcaccio Jr., MD's National Provider Identifier is 1073511218, issued on Jul 12, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Providence, RI. The record was last updated on Jul 12, 2024.