Mccullough, David Hurd

Mccullough, David Hurd is an individual health care provider with primary practice located at 112 Quarry Rd Suite 150, Trumbull CT 06611-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mccullough, David Hurd can be contacted via phone (203) 385-1166.

Contact Information

Primary practice address
112 Quarry Rd Suite 150 Trumbull CT 06611-4816
Fax: (203) 381-0608
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 035958 Connecticut

Profile Details

NPI number 1669437851
LBN Legal business name Mccullough, David Hurd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669437851 NPPES
Connecticut MEDICAID 001359589

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