IndividualActive
Marilyn Bacon, MD
NPI 1659349835 · Pediatric Adolescent Medicine Physician · Windsor, CT
Provider details
- NPI number
- 1659349835
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- License
- 017505 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
820c Prospect Hill Rd
Windsor, CT 06095
Phone: (860) 285-8251
Fax: (860) 687-1774
Approximate (ZIP-level) locationGet directions
Mailing address
345 N Main St
West Hartford, CT 06117
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.