Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 13965 | CT |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 13965 | CT |
NPI | 1821329327 |
---|---|
Provider Name | Dr. Robert Emmett Mccarthy |
First Address | Higganum, CT 06441-4415 |
Second Address | Higganum, CT 06441-4415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2010 |
Last Update Date | 22/01/2010 |