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Individual

DR. PATRICIA A MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
210 MAIN STREET PO BOX 38, FARMINGTON, CT 06032-9992
(860) 539-9136
Mailing address
210 MAIN ST PO BOX 38, FARMINGTON, CT 06032-9992
(860) 539-9136
(860) 826-4436

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
024751
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004214433
CT
01
010024751CT02
BCBS & BCFP ID
CT
01
01024751
CIGNA
CT
01
060065
HEALTH NET
CT
01
1255448155
GHMC GROUP NPI ID
CT
01
138005
WELLCARE MEDICARE
CT
01
180024412
RAIL ROAD MEDICARE ID
CT
01
481607
AETNA
CT
01
7939301
CONNECTICARE
CT
01
P369883
OXFORD
CT
Enumeration date
07/22/2005
Last updated
12/17/2024
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