Provider Demographics
NPI:1013016641
Name:MARCUS, ADRIAN M (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:M
Last Name:MARCUS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:132 FEDERAL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4047
Mailing Address - Country:US
Mailing Address - Phone:203-918-8505
Mailing Address - Fax:203-778-0591
Practice Address - Street 1:132 FEDERAL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4047
Practice Address - Country:US
Practice Address - Phone:203-918-8505
Practice Address - Fax:203-778-0591
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT989111N00000X
NY7031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor