Individual
DR. JOHN MARION GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TRAP FALLS ROAD, SUITE 414, SHELTON, CT 06484-7353
(203) 929-7353
(203) 929-0756
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(860) 282-0170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
033002
CT
207LP3000X
Pediatric Anesthesiology Physician
033002
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001330026
—
CT
Enumeration date
01/20/2006
Last updated
08/23/2023
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