Individual
RICHARD STEVEN MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4097
Mailing address
10 BURWELL RD, NEW HARTFORD, CT 06057-4110
(860) 738-3965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000072
CT
363AM0700X
Medical Physician Assistant
Primary
000072
CT
Other
Enumeration date
09/20/2006
Last updated
02/27/2015
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