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NPI Code Detail

MEDICARE: DR. JOHN G MCCARTHY M.D.

MEDICARE: DR. JOHN G MCCARTHY 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
1207L00000XAnesthesiology Physician029846CT
2174400000XSpecialist029846CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841307410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN G MCCARTHY M.D.
Provider Business Mailing Address
First Line : 130 PAWSON RD
Second Line :
City : BRANFORD
State : CT
Zip : 06405-5038
Country : US
Telephone Number : 203-671-6205
Fax Number :
Provider Business Practice Location Address
First Line : 1 PARK ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06504-8901
Country : US
Telephone Number : 203-785-2802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 08/07/2019

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