Individual
DANIEL P MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3343
(860) 679-4256
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
022037
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
022037
CT
207RP1001X
Pulmonary Disease Physician
022037
CT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
022037
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1220375
—
CT
Enumeration date
06/23/2005
Last updated
09/26/2022
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