Individual
JOHN C MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
469 MIGEON AVE, TORRINGTON, CT 06790-4643
(860) 489-0931
(860) 489-3325
Mailing address
469 MIGEON AVE, TORRINGTON, CT 06790-4643
(860) 489-0931
(860) 489-3325
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
043403
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001434034
—
CT
05
—
004247872
—
CT
Enumeration date
07/13/2005
Last updated
08/06/2015
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