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Individual

DAVID J MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
220 ROUTE 12, GROTON, CT 06340-3414
(860) 446-6137
(860) 446-6143
Mailing address
51 EVERGREEN CT, WAKEFIELD, RI 02879-1652
(401) 789-1734

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4265
CT
363AM0700X
Medical Physician Assistant
PA00249
RI

Other

Enumeration date
09/08/2006
Last updated
05/08/2019
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