John a Marascalco, Md, PA

NPI #1457577074 in Grenada, Mississippi

Provider Information

NPI Number: 1457577074
Entity Type: Organization
Organization Name: John a Marascalco, Md, PA
Primary Specialty: Specialist
Enumeration Date: Apr 18, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 1300 SUNSET DR
Address 2: SUITE A
City: Grenada
State: Mississippi
ZIP Code: 38901-4086
Phone: (662) 227-4463

Authorized Official

Name: JOHN A MARASCALCO, MD
Title: PRESIDENT
Phone: (662) 227-4463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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