Individual
G. TODD MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106
(869) 545-7229
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
001698
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004016986
—
CT
Enumeration date
08/09/2006
Last updated
12/12/2017
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