Marcoux, David A

Marcoux, David A is an individual health care provider with primary practice located at 407 East Ave Suite 120, Pawtucket RI 02860-5299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marcoux, David A can be contacted via phone (401) 725-4739.

Contact Information

Primary practice address
407 East Ave Suite 120 Pawtucket RI 02860-5299
Fax: (401) 725-4740
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD7976 Rhode Island

Profile Details

NPI number 1730140864
LBN Legal business name Marcoux, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated May 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730140864 NPPES
Other 5117244 AETNA
Other 04-07275 AETNA
Other 1730140864 AETNA
Other 21726-4 AETNA
Other 406226 AETNA
Other 202696 AETNA
Other AA34962 AETNA
Other 2973 AETNA
MEDICAID 7002341 AETNA

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