# DAVID H. MCCULLOUGH, M.D. & ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083916910
- **Authorized official:** DR. DAVID HURD MCCULLOUGH M.D. (SOLE MEMBER LLC)
- **Authorized official phone:** (203) 385-1166

## Contact information

- **Practice address:** 33 KING ST, STRATFORD, CT 06615-5849
- **Practice address phone:** (203) 385-1166
- **Practice address fax:** (203) 381-0608
- **Mailing address:** 33 KING ST, STRATFORD, CT 06615-5849
- **Mailing address phone:** (203) 385-1166
- **Mailing address fax:** (203) 381-0608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 035958 | CT | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 11/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001359589 | — | CT |
