Healthcare Provider Details

I. General information

NPI: 1780891697
Provider Name (Legal Business Name): MICHAEL W. MARCUS, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 MAIN ST
WINCHESTER MA
01890-1913
US

IV. Provider business mailing address

898 MAIN ST
WINCHESTER MA
01890-1913
US

V. Phone/Fax

Practice location:
  • Phone: 781-721-2737
  • Fax:
Mailing address:
  • Phone: 781-721-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL W. MARCUS
Title or Position: PRESIDENT
Credential: MD
Phone: 781-721-2737