Individual
DR. KENNETH MICHAEL MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 WHITNEY AVE, NEW HAVEN, CT 06511-7204
(203) 772-0003
Mailing address
303 WHITNEY AVE, NEW HAVEN, CT 06511-7204
(203) 772-0003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
021420
CT
Other
Enumeration date
01/04/2007
Last updated
11/30/2009
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