Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 050395 | CT |
Y | 208600000X | Surgeon | 050395 | CT |
N | 2086S0102X | Surgical Critical Care | 050395 | CT |
N | 2086X0206X | Surgical Oncologist | 050395 | CT |
NPI | 1144314709 |
---|---|
Provider Name | Dr. David W Mcfadden |
First Address | Farmington, CT 06030-2212 |
Second Address | Farmington, CT 06030-6227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 28/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1144314709 | (05) | CT |
C03197 | (02) |