Provider Demographics
NPI:1841977618
Name:MARSH, ALISON GEORGIA (PA-C)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:GEORGIA
Last Name:MARSH
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:484 MAPLE AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2576
Mailing Address - Country:US
Mailing Address - Phone:781-521-4638
Mailing Address - Fax:
Practice Address - Street 1:330 WESTERN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4383
Practice Address - Country:US
Practice Address - Phone:860-246-2071
Practice Address - Fax:860-633-2466
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant