Provider Demographics
NPI:1740321041
Name:VENEZIANO, MARC J (MD)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:J
Last Name:VENEZIANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:634 PEACHTREE PKWY
Mailing Address - Street 2:EMORY HEART AND VASCULAR CENTER AT CUMMING
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9782
Mailing Address - Country:US
Mailing Address - Phone:770-886-0003
Mailing Address - Fax:
Practice Address - Street 1:634 PEACHTREE PKWY
Practice Address - Street 2:EMORY HEART AND VASCULAR CENTER AT CUMMING
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9782
Practice Address - Country:US
Practice Address - Phone:770-886-0003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2022-03-03
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Provider Licenses
StateLicense IDTaxonomies
NY236977207RC0000X
GA068013207RC0000X
SC87094207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease