Dr Maynard Laurier Marquis Jr, MD is a
Psychiatry & Neurology - Psychiatry physician based in South Glastonbury, Connecticut. Dr Maynard Laurier Marquis Jr is licensed to practice in Connecticut (license number 029601) and his current practice location is 919 Chestnut Hill Road, South Glastonbury, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 745-3414.
NPI number for Dr Maynard Laurier Marquis Jr is 1437351624 and his current mailing address is 919 Chestnut Hill Road, South Glastonbury, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437351624.
Physician's Profile
| Full Name | Dr Maynard Laurier Marquis Jr |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 919 Chestnut Hill Road, South Glastonbury, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437351624
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 12/03/2018
Medical Identifiers
Medical identifiers for Dr Maynard Laurier Marquis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437351624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 029601 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maynard Laurier Marquis Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maynard Laurier Marquis Jr, MD
919 Chestnut Hill Road,
South Glastonbury, CT 06073
Ph: (860) 745-3414 | Dr Maynard Laurier Marquis Jr, MD
919 Chestnut Hill Road,
South Glastonbury, CT 06073
Ph: (860) 745-3414 |
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