Whalio Doctors

NPI 1659349835

Marilyn a Bacon, MD

Practitioner Pediatric Adolescent Medicine Physician Windsor, CT

Practice location

Address
820c Prospect Hill Rd, Windsor, CT 06095
Phone
(860) 285-8251
Fax
(860) 687-1774
Mailing address
345 N Main St STE 248, West Hartford, CT 06117

Registered specialties

Pediatric Adolescent Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 017505 (CT)

Registry record

NPI
1659349835
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Mar 2006
Record last updated
13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.