Marc C Restuccia M.D.

NPI 1104801778 - Emergency Medicine - 207P00000X

NPI Details
NPI 1104801778
Gender Male
Enumeration Date 12/07/2005
Last Updated 03/06/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
55 LAKE AVE N
DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER MA, 01655-0002, US
Phone (508) 421-1400
Fax (508) 421-1490
Business Location
PO BOX 415348
BOSTON MA, 02241-5348, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Massachusetts
License Number 55857
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According to our database, Dr. Marc C Restuccia M.D. NPI is 1104801778, taxonomy code is 207P00000X and license number is 55857, license state is located at Massachusetts. Marc C Restuccia M.D. physically located at 55 Lake Ave N, Worcester MA, 01655-0002. NPI Number Marc C Restuccia M.D. has the Individual type.

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1104801778 NPI number is provided on an as is basis without warranty of any kind. 1104801778 is maintained by the National Plan & Provider Enumeration System. The contents of Marc C Restuccia M.D. are for informational purposes only.