MEDICARE: JAMES S MARSH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	028508	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033178207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES S MARSH MD

Provider Business Mailing Address
First Line	:	1200 BOSTON POST RD
Second Line	:	SUITE 201-B
City	:	GUILFORD
State	:	CT
Zip	:	06437-2450
Country	:	US
Telephone Number	:	203-453-1088
Fax Number	:	203-458-2980

Provider Business Practice Location Address
First Line	:	12 VILLAGE ST
Second Line	:	VILLAGE MEDICAL CENTER SUITE 8
City	:	NORTH HAVEN
State	:	CT
Zip	:	06473-3828
Country	:	US
Telephone Number	:	203-453-1088
Fax Number	:	203-458-2980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/09/2007

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