Provider Demographics
NPI:1366721995
Name:ABREU, MARCIO MARC (MD)
Entity type:Individual
Prefix:DR
First Name:MARCIO
Middle Name:MARC
Last Name:ABREU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-7762
Mailing Address - Country:US
Mailing Address - Phone:203-870-9611
Mailing Address - Fax:203-870-9613
Practice Address - Street 1:250 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-7762
Practice Address - Country:US
Practice Address - Phone:203-870-9611
Practice Address - Fax:203-870-9613
Is Sole Proprietor?:No
Enumeration Date:2011-08-13
Last Update Date:2011-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT42521207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology