Individual
JARED MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5862
(518) 637-2104
Mailing address
222 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5862
(518) 637-2104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
10/02/2018
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