Individual
DR. DAVID W MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, GENERAL SURGERY, FARMINGTON, CT 06030-6227
(860) 679-8080
(860) 679-1420
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT OFFICE, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
050395
CT
2086S0102X
Surgical Critical Care Physician
050395
CT
2086X0206X
Surgical Oncology Physician
050395
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144314709
—
CT
Enumeration date
10/03/2006
Last updated
07/11/2022
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