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NPI Code Detail

MEDICARE: STUART MARCUS M.D.

MEDICARE: STUART MARCUS M.D.
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
1208600000XSurgery Physician175417NY
22086X0206XSurgical Oncology Physician044473CT

Other Identifiers

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

General Provider Information

NPI Number : 1780678227
Entity Type Code : Individual
Provider Name (Legal Business Name) : STUART MARCUS M.D.
Provider Business Mailing Address
First Line : 2800 MAIN ST
Second Line : ST. VINCENT'S MEDICAL CENTER
City : BRIDGEPORT
State : CT
Zip : 06606-4201
Country : US
Telephone Number : 203-576-6101
Fax Number : 203-581-6587
Provider Business Practice Location Address
First Line : 2800 MAIN ST
Second Line : ST. VINCENT'S MEDICAL CENTER
City : BRIDGEPORT
State : CT
Zip : 06606-4201
Country : US
Telephone Number : 203-576-6101
Fax Number : 203-581-6587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 07/31/2015

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