MEDICARE: DR. JAMES F. DEVANNEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	034415	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000138386401	OTHER	CT	UNITED HEALTHCARE ID
2	010034415CT01	OTHER	CT	BLUE SHIELD PROVIDER ID
3	344150	OTHER	CT	CONNECTICARE ID
4	4339417	OTHER	CT	AETNA PROVIDER ID
5	040296	OTHER	CT	HEALTHNET PROVIDER ID
6	061020840001	OTHER	CT	HEALTHCHOICE OF CT ID
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	P638599	OTHER	CT	OXFORD PROVIDER ID
9	00134415001	OTHER	CT	BLUE CARE FAMILY PLAN ID

General Provider Information

NPI Number	:	1821096579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES F. DEVANNEY M.D.

Provider Business Mailing Address
First Line	:	538 LITCHFIELD ST
Second Line	:	SUITE 102
City	:	TORRINGTON
State	:	CT
Zip	:	06790-6669
Country	:	US
Telephone Number	:	860-496-8990
Fax Number	:	860-496-7301

Provider Business Practice Location Address
First Line	:	538 LITCHFIELD ST
Second Line	:	SUITE 102
City	:	TORRINGTON
State	:	CT
Zip	:	06790-6669
Country	:	US
Telephone Number	:	860-496-8990
Fax Number	:	860-496-7301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. JAMES F. DEVANNEY M.D.” Practice Location

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