Healthcare Provider Details

I. General information

NPI: 1437045515
Provider Name (Legal Business Name): ALICIA MARSH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 WASHINGTON ST
NORWICH CT
06360-2740
US

IV. Provider business mailing address

144 SUTHERLAND RD APT 2
BRIGHTON MA
02135-7309
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-8331
  • Fax: 860-892-2709
Mailing address:
  • Phone: 860-917-8233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7537
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: