Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 5665 | CT |
Y | 213EG0000X | General Practice | 5665 | CT |
NPI | 1003018672 |
---|---|
Provider Name | Dr. Thomas F. Mccarthy III |
First Address | Waterbury, CT 06708-2507 |
Second Address | Waterbury, CT 06708-2507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 08/07/2007 |