Individual
PACEY PET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 DANBURY RD, NEW MILFORD, CT 06776-3427
(860) 799-5900
(860) 799-5902
Mailing address
146 DANBURY RD, NEW MILFORD, CT 06776-3427
(860) 799-5900
(860) 799-5902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30074
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004068508
—
CT
01
—
4329521
AETNA
CT
01
—
730074
CONNECTICARE
—
01
—
9896287
CIGNA
—
01
—
P4302536
OXFORD
—
Enumeration date
02/02/2006
Last updated
03/03/2017
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