NPI 1114900446 · live from the CMS NPI Registry
Gary R Marecek, MD
Radiology, Diagnostic Radiology in East Providence, RI. National Provider Identifier 1114900446, active.
NPI record
| NPI | 1114900446 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 20 Catamore Blvd, East Providence, RI 02914 |
| Practice phone | 401-432-2500 |
| Enumerated | November 21, 2005 |
| Last updated | July 10, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD08435 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.