Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 028508 | CT |
NPI | 1033178207 |
---|---|
Provider Name | James S Marsh |
First Address | Guilford, CT 06437-2450 |
Second Address | North Haven, CT 06473-3828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001285089 | (05) | CT |
B74751 | (02) |