Individual
MARC S CROTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, UCONN/OCCUPATIONAL MEDICINE ASSOCIATES, FARMINGTON, CT 06030-0001
(860) 679-2893
(860) 679-4587
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
024881
CT
2083X0100X
Occupational Medicine Physician
Primary
024881
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053394569
—
CT
Enumeration date
11/29/2005
Last updated
04/09/2013
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