Provider Demographics
NPI:1609819671
Name:MCKAY, D. JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:D. JAMES
Middle Name:
Last Name:MCKAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:JAMES
Other - Last Name:MCKAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:990 MIGEON AVE
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-4525
Mailing Address - Country:US
Mailing Address - Phone:860-482-8556
Mailing Address - Fax:860-626-0361
Practice Address - Street 1:990 MIGEON AVE
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-4525
Practice Address - Country:US
Practice Address - Phone:860-482-8556
Practice Address - Fax:860-626-0361
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT019954207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010000644Medicare ID - Type Unspecified
CTD76996Medicare UPIN