Individual
DR. JUSTIN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(401) 946-5812
Mailing address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
61460
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
06/21/2021
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