Maynard Laurier Marquis JR. MD

NPI 1437351624 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1437351624
Gender Male
Enumeration Date 06/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
64 PALOMBA DRIVE
SUITE 5
ENFIELD CT, 06082, US
Phone (860) 745-3414
Fax
Business Location
PO BOX 602
SOUTH GLASTONBURY CT, 06073, US
Phone (860) 745-3414
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Connecticut
License Number 029601
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According to our database, Dr. Maynard Laurier Marquis JR. MD NPI is 1437351624, taxonomy code is 2084P0800X and license number is 029601, license state is located at Connecticut. Maynard Laurier Marquis JR. MD physically located at 64 Palomba Drive, Enfield CT, 06082. NPI Number Maynard Laurier Marquis JR. MD has the Individual type.

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1437351624 NPI number is provided on an as is basis without warranty of any kind. 1437351624 is maintained by the National Plan & Provider Enumeration System. The contents of Maynard Laurier Marquis JR. MD are for informational purposes only.