Healthcare Provider Details

I. General information

NPI: 1831187442
Provider Name (Legal Business Name): THOMAS R MCCAULEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 GOOSE LN
GUILFORD CT
06437-5101
US

IV. Provider business mailing address

43 ORCUTT DR
GUILFORD CT
06437-2221
US

V. Phone/Fax

Practice location:
  • Phone: 203-453-7171
  • Fax:
Mailing address:
  • Phone: 203-562-6023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number029631
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: