Dr. Marc Bertrand Davignon
Nuclear Medicine Specialist
111 Founders Plz Suite 400
East Hartford
, Connecticut 06108-3212
Dr. Marc Bertrand Davignon
Nuclear Medicine Specialist
111 Founders Plz Suite 400
East Hartford
, Connecticut 06108-3212
(860) 528-0778
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Marc Bertrand Davignon
- 111 Founders Plz Suite 400
- East Hartford, CT
- Zip : 06108-3212
- Fax : (860) 528-0778
- Phone : (860) 246-6589
Second Address
- Dr. Marc Bertrand Davignon
- 111 Founders Plz Suite 400
- East Hartford, CT
- Zip : 06108-3212
- Fax : (860) 528-0778
- Phone : (860) 246-6589
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 022073 | CT |
National Provider Identifier
| NPI | 1093816118 |
|---|---|
| Provider Name | Dr. Marc Bertrand Davignon |
| First Address | East Hartford, CT 06108-3212 |
| Second Address | East Hartford, CT 06108-3212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4097392 | (05) | CT |
| E02451 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.