Individual
DR. DAVID K MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38 N MAIN ST, KENT, CT 06757-1511
(860) 927-4875
(860) 927-4366
Mailing address
38 N MAIN ST, PO BOX 206, KENT, CT 06757-1511
(860) 927-4875
(860) 927-4366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038481
CT
208000000X
Pediatrics Physician
038481
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001384817
—
CT
Enumeration date
01/11/2006
Last updated
01/07/2011
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