Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 031002 | CT |
N | 207XS0117X | Orthopaedic Spine Surgeon | 031002 | CT |
NPI | 1275598252 |
---|---|
Provider Name | Brian E Mccarthy |
First Address | Torrington, CT 06790 |
Second Address | Torrington, CT 06790 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 30/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001310028 | (05) | CT |
010031002CT01 | BC (01) | CT |
2205147 | AETNA (01) | CT |
E47716 | (02) |