Doctor Name: | CHRISTINA M MCLEAN |
NPI Number: | 1912072455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 033793 |
Business Practice Address: | 8 Vista Dr Eastport North Business Park Old Lyme, CT - 063711587 |
Business Phone Number: | 8604348849 |
Business Fax Number: | 8604340428 |
Mailing Address: | 4 Coach Dr, OLD LYME |
State: | CT |
Postal Code: | 063711354 |
Phone Number: | 8604346474 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | 033793 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |