Provider Demographics
NPI:1356969653
Name:MCFARLANE, PAUL ANTHONY JUNIOR (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ANTHONY JUNIOR
Last Name:MCFARLANE
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 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:HARTFORD HEALTHCARE-CVO
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:42 TOWN ST STE 300
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2339
Practice Address - Country:US
Practice Address - Phone:860-886-0567
Practice Address - Fax:860-886-0656
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT72484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine