Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward J. Marcaccio Jr., MD

Individual provider Vascular Surgery Physician · NPI 1073511218

Edward J. Marcaccio Jr., MD is a Vascular Surgery in Providence, Rhode Island. Graduated from University of Rochester School of Medicine and Dentistry in 1986, 40 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
40
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
RI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2 Dudley St Ste 470
Providence, RI 02905-3236
Phone: (401) 553-8318
Fax: (401) 868-2307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 738-6611

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD08399 (RI)

Record details

NPI number1073511218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 1986 (40 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Providence