Organization
DAVID H. MCCULLOUGH, M.D. & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HURD MCCULLOUGH M.D. (SOLE MEMBER LLC)
(203) 385-1166
Entity
Organization
Contact information
Practice address
33 KING ST, STRATFORD, CT 06615-5849
(203) 385-1166
(203) 381-0608
Mailing address
33 KING ST, STRATFORD, CT 06615-5849
(203) 385-1166
(203) 381-0608
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
035958
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001359589
—
CT
Enumeration date
11/29/2010
Last updated
11/29/2010
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