Provider Demographics
NPI:1356570659
Name:MARIANO, ARCANGELO V (MD)
Entity type:Individual
Prefix:DR
First Name:ARCANGELO
Middle Name:V
Last Name:MARIANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 POWDERHILL RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2101
Mailing Address - Country:US
Mailing Address - Phone:781-575-0288
Mailing Address - Fax:781-575-0288
Practice Address - Street 1:10 POWDERHILL RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2101
Practice Address - Country:US
Practice Address - Phone:781-575-0288
Practice Address - Fax:781-575-0288
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2013-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA27338208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery