Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 7031 | NY |
Y | 111N00000X | Chiropractor | 989 | CT |
NPI | 1013016641 |
---|---|
Provider Name | Dr. Adrian M Marcus |
First Address | Danbury, CT 06811-4047 |
Second Address | Danbury, CT 06811-4047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 04/08/2014 |