Organization
LARRY M MARCUS, MD, FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MARCUS MD (PHYSICIAN)
(860) 585-5888
Entity
Organization
Contact information
Practice address
255 N MAIN ST, BRISTOL, CT 06010-4972
(860) 585-5888
Mailing address
255 N MAIN ST, BRISTOL, CT 06010-4972
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
029258
CT
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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