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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306425848

Johnathan Andrew Marasco, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1306425848
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2021
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing address234 Wayland Ave Apt 7, Providence, RI 02906-4557

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