Individual
PETER S MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 WAWECUS ST, SUITE 105, NORWICH, CT 06360
(860) 886-0161
(860) 889-5999
Mailing address
1375 KINGS HWY, FAIRFIELD, CT 06824-5318
(203) 366-8000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
037313
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001373133
—
CT
01
—
010037313CT01
BCS
CT
01
—
0804960
UNITED HEALTHCARE
—
01
—
0V7359
HEALTHNET
CT
01
—
190317
PREFERRED ONE
—
01
—
2353634
AETNA
—
01
—
7294127002
CIGNA
—
01
—
741852
CONNECTICARE
—
01
—
P2135757
OXFORD
—
Enumeration date
07/11/2006
Last updated
11/06/2019
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