Individual
KATHLEEN MARIE MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2505 MAIN ST, STRATFORD, CT 06615-5839
(203) 375-9350
(203) 375-8013
Mailing address
2505 MAIN ST, STRATFORD, CT 06615-5839
(203) 375-9350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40110
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001401108
—
CT
01
—
00140110800
BLUE CARE FFAMILY PLAN
CT
01
—
01004011CT01
BLUE CROSS/BLUE SHIELD
CT
01
—
040110
CONNECTICARE
CT
01
—
061152058
COMMERCIAL INSURANCE
CT
01
—
223538
PREFERRED ONE
CT
01
—
2V4891
PHYSICIAN HEALTH SERVICES
CT
01
—
3556550
AETNA HEALTH PLAN
CT
01
—
5189240
CIGNA HEALTH PLAN
CT
01
—
P3389562
OXFORD HEALTH PLAN
CT
Enumeration date
06/14/2006
Last updated
09/10/2009
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