Healthcare Provider Details

I. General information

NPI: 1801820972
Provider Name (Legal Business Name): MICHELLE MCDADE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GRAND ST DEPARTMENT OF EMERGENCY MEDICINE
NEW BRITAIN CT
06052-2016
US

IV. Provider business mailing address

100 GRAND ST DEPARTMENT OF EMERGENCY MEDICINE
NEW BRITAIN CT
06052-2016
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5771
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number043743
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number043743
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: