Individual
MR. PAUL MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO 02475
Contact information
Practice address
305 FLANDERS RD UNIT 6, EAST LYME, CT 06333-1743
(860) 333-5558
Mailing address
305 FLANDERS RD UNIT 6, EAST LYME, CT 06333-1743
(860) 333-5558
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822138683
—
CT
Enumeration date
11/29/2022
Last updated
02/27/2025
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