Individual
STUART MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, ST. VINCENT'S MEDICAL CENTER, BRIDGEPORT, CT 06606-4201
(203) 576-6101
(203) 581-6587
Mailing address
2800 MAIN ST, ST. VINCENT'S MEDICAL CENTER, BRIDGEPORT, CT 06606-4201
(203) 576-6101
(203) 581-6587
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
175417
NY
2086X0206X
Surgical Oncology Physician
Primary
044473
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01620075
—
NY
Enumeration date
09/09/2005
Last updated
07/31/2015
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