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Individual

PAUL L MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15 YORK ST, DCB - 14A, DEPT. OF PEDIATRICS, NEW HAVEN, CT 06510-3221
(203) 688-2470
(203) 688-7274
Mailing address
15 YORK ST, DCB - 14A, DEPT. OF PEDIATRICS, NEW HAVEN, CT 06510-3221
(203) 688-2470
(203) 688-7274

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016924
CT
2080P0216X
Pediatric Rheumatology Physician
016924
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001169242
CT
Enumeration date
11/22/2005
Last updated
03/15/2011
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