JOHNATHAN ANDREW MARASCO

PROVIDENCE, RI
NPI1306425848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-02
Last Update Date2023-07-05
Business Address
JOHNATHAN ANDREW MARASCO MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4000
Mailing Address
JOHNATHAN ANDREW MARASCO MD
234 WAYLAND AVE APT 7
PROVIDENCE, RI 02906-4557
Phone number: 479-264-7710