Healthcare Provider Details

I. General information

NPI: 1285612622
Provider Name (Legal Business Name): MICHAEL MCNAMEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 01/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GRAND ST
NEW BRITAIN CT
06052-2016
US

IV. Provider business mailing address

100 GRAND ST
NEW BRITAIN CT
06052-2016
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5242
  • Fax: 860-224-5742
Mailing address:
  • Phone: 860-224-5242
  • Fax: 860-224-5742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number022083
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: