Individual
MARCEL ABEL BAVOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
42 REYNOLDS ST, DANIELSON, CT 06239-2917
(607) 747-5018
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00414
RI
207R00000X
Internal Medicine Physician
Primary
64801
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005110
—
RI
Enumeration date
03/14/2007
Last updated
01/09/2024
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