Provider Demographics
NPI:1033178496
Name:MCLARNEY, THOMAS J (MD)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:J
Last Name:MCLARNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:327 HIGH ST
Mailing Address - Street 2:DAVISON HEALTH CENTER
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06459-3232
Mailing Address - Country:US
Mailing Address - Phone:860-685-2470
Mailing Address - Fax:860-685-2471
Practice Address - Street 1:327 HIGH ST
Practice Address - Street 2:DAVISON HEALTH CENTER
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06459-3232
Practice Address - Country:US
Practice Address - Phone:860-685-2470
Practice Address - Fax:860-685-2471
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT029483207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004236164Medicaid
CT010029483CT04OtherBCBS
CT294830OtherCTC
CT004236164Medicaid
CT080001584Medicare PIN