Provider Demographics
NPI:1124593397
Name:MARRIOTT, JOHN PAUL (ND)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:MARRIOTT
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VT
Mailing Address - Zip Code:05454-9576
Mailing Address - Country:US
Mailing Address - Phone:203-400-8571
Mailing Address - Fax:
Practice Address - Street 1:30 PLAINS RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VT
Practice Address - Zip Code:05454-9576
Practice Address - Country:US
Practice Address - Phone:203-400-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath