Provider Demographics
NPI:1033178207
Name:MARSH, JAMES S (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:MARSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1200 BOSTON POST RD
Mailing Address - Street 2:SUITE 201-B
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2450
Mailing Address - Country:US
Mailing Address - Phone:203-453-1088
Mailing Address - Fax:203-458-2980
Practice Address - Street 1:12 VILLAGE ST
Practice Address - Street 2:VILLAGE MEDICAL CENTER SUITE 8
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3828
Practice Address - Country:US
Practice Address - Phone:203-453-1088
Practice Address - Fax:203-458-2980
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CT028508207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001285089Medicaid