Individual provider · Type 1 NPI

Johnathan Andrew Marasco, MD

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1306425848 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 444-4000 Map

Mailing address

234 Wayland Ave Apt 7
Providence, RI 02906-4557

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306425848

Johnathan Andrew Marasco, MD's National Provider Identifier is 1306425848, issued on Apr 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Jul 5, 2023.