Provider Demographics
NPI:1720271224
Name:MCBEE, AMY D (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:D
Last Name:MCBEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06045-0720
Mailing Address - Country:US
Mailing Address - Phone:860-533-2981
Mailing Address - Fax:860-533-2975
Practice Address - Street 1:71 HAYNES ST
Practice Address - Street 2:NEONATAL ICU
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4131
Practice Address - Country:US
Practice Address - Phone:860-647-4748
Practice Address - Fax:860-647-6439
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0473662080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT947605OtherCIGNA
CT010047366CT01OtherANTHEM BC/BS