Individual
DR. JOHN THOMAS MARCOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11 NEVINS ST, SUITE 201, BRIGHTON, MA 02135-3514
(617) 789-2442
(617) 789-4207
Mailing address
11 NEVINS ST, SUITE 201, BRIGHTON, MA 02135-3514
(617) 789-2442
(617) 789-4207
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2128
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316733
—
MA
Enumeration date
10/05/2006
Last updated
10/21/2011
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