Individual
ROBERT MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 CEDAR ST, FMP 3, NEW HAVEN, CT 06510-3206
(203) 785-4127
(203) 785-7144
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
040324
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010040324CT03
BLUE CROSS BLUE SHIELD
CT
01
—
040324
CONNECTICARE
CT
01
—
3787096
AETNA
CT
01
—
P00211828
RAILROAD MEDICARE
CT
Enumeration date
07/26/2005
Last updated
03/23/2020
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