Individual
DR. MARC BERTRAND DAVIGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 246-6589
(860) 528-0778
Mailing address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 246-6589
(860) 528-0778
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
022073
CT
2085R0202X
Diagnostic Radiology Physician
022073
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4097392
—
CT
Enumeration date
09/25/2006
Last updated
09/11/2025
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