Healthcare Provider Details

I. General information

NPI: 1578884698
Provider Name (Legal Business Name): PATRICK JOSEPH CAHILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 OTROBANDO AVENUE
NORWICH CT
06360-2116
US

IV. Provider business mailing address

1290 SILAS DEANE HWY
WETHERSFIELD CT
06109-4337
US

V. Phone/Fax

Practice location:
  • Phone: 860-886-8545
  • Fax:
Mailing address:
  • Phone: 860-972-9093
  • Fax: 860-972-7040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number65372
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number262539
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: