Doctor Name: | DR. GARY R MARECEK |
NPI Number: | 1114900446 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD08435 |
Business Practice Address: | 20 Catamore Blvd East Providence, RI - 02914 |
Business Phone Number: | 4014322500 |
Business Fax Number: | |
Mailing Address: | 20 Catamore Blvd, EAST PROVIDENCE |
State: | RI |
Postal Code: | 02914 |
Phone Number: | 4014322500 |
Fax Number: | 6038938886 |
NPI Enumeration Date: | 11/21/2005 |
NPI Last Update Date: | 07/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MD08435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |