Marshall, Daniel

Marshall, Daniel is an individual health care provider with primary practice located at 701 Cottage Grove Rd , Bloomfield CT 06002-3080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marshall, Daniel can be contacted via phone (860) 242-4000.

Contact Information

Primary practice address
701 Cottage Grove Rd Bloomfield CT 06002-3080
Phone: (860) 242-4000
Fax: (860) 243-8286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0006974 Connecticut

Profile Details

NPI number 1386620508
LBN Legal business name Marshall, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jul 25th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386620508 NPPES
Connecticut MEDICAID 001069749

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