Individual
DR. MAYNARD LAURIER MARQUIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 CHESTNUT HILL ROAD, SOUTH GLASTONBURY, CT 06073
(860) 745-3414
Mailing address
919 CHESTNUT HILL ROAD, SOUTH GLASTONBURY, CT 06073
(860) 745-3414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
029601
CT
Other
Enumeration date
06/01/2007
Last updated
12/03/2018
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