Individual
DR. ROBERT T. MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NICOLLS RD, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794-8350
(631) 444-2478
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
261154
MA
207P00000X
Emergency Medicine Physician
Primary
283170
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
283170
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102404A
—
MA
Enumeration date
06/07/2012
Last updated
07/05/2016
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