Individual provider · Type 1 NPI
Justin Marshall, MD
Student in an Organized Health Care Education/Training Program · Hartford, CT
NPI number
1265969042
Active
Practice location
200 Retreat Ave
Hartford, CT 06106-3309
Mailing address
189 Storrs Rd
Mansfield Center, CT 06250-1683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 61460 (CT) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1265969042
Justin Marshall, MD's National Provider Identifier is 1265969042, issued on May 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Jun 21, 2021.