Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | DN21915 | MA |
NPI | 1871719427 |
---|---|
Provider Name | Dr. Patrick D. Mccarty |
First Address | Sharon, MA 02067-3140 |
Second Address | Sharon, MA 02067-3140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 07/05/2016 |