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NPI Code Detail

MEDICARE: ROBERT J MCLOUGHLIN M.D.

MEDICARE: ROBERT J MCLOUGHLIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0102XSurgical Critical Care Physician75848CT
2208600000XSurgery Physician75848CT

General Provider Information

NPI Number : 1518353663
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT J MCLOUGHLIN M.D.
Provider Business Mailing Address
First Line : 263 FARMINGTON AVE
Second Line : DEPT OF SURGERY
City : FARMINGTON
State : CT
Zip : 06030-0002
Country : US
Telephone Number : 860-679-2000
Fax Number :
Provider Business Practice Location Address
First Line : 263 FARMINGTON AVE
Second Line : DEPT OF SURGERY
City : FARMINGTON
State : CT
Zip : 06030-0002
Country : US
Telephone Number : 860-679-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2015
Last Update Date : 08/29/2023

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