Healthcare Provider Details

I. General information

NPI: 1295714319
Provider Name (Legal Business Name): WILLIAM HUGH MCGEEHIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 LITCHFIELD ST SUITE 201
TORRINGTON CT
06790-6669
US

IV. Provider business mailing address

538 LITCHFIELD ST SUITE 201
TORRINGTON CT
06790-6669
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-7017
  • Fax: 860-489-8943
Mailing address:
  • Phone: 860-489-7017
  • Fax: 860-489-8943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number31546
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: