Provider Demographics
NPI:1700812427
Name:MCVEETY, JAMES C (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:MCVEETY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:330 ORCHARD STREET
Mailing Address - Street 2:SUITE 216
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-4430
Mailing Address - Country:US
Mailing Address - Phone:203-789-6047
Mailing Address - Fax:203-782-6311
Practice Address - Street 1:330 ORCHARD STREET
Practice Address - Street 2:SUITE 216
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4430
Practice Address - Country:US
Practice Address - Phone:203-789-6047
Practice Address - Fax:203-782-6311
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CT269532084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B83542Medicare UPIN