Individual provider · Type 1 NPI
Marilyn A. Bacon, MD
Pediatric Adolescent Medicine Physician · Windsor, CT
NPI number
1659349835
Active
Practice location
820C Prospect Hill Rd
Windsor, CT 06095
Fax (860) 687-1774
Mailing address
345 N Main St, Ste 248
West Hartford, CT 06117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 017505 (CT) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Other pediatric adolescent medicine physician providers in Windsor
About NPI 1659349835
Marilyn A. Bacon, MD's National Provider Identifier is 1659349835, issued on Mar 14, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Windsor, CT. The record was last updated on Jul 13, 2026.