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Contact Information

SHADY MACARON, MD
56 FRANKLIN ST
WATERBURY, CT06706-1253
 Phone: 203-709-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHADY MACARON · (Male)

NPI Number 1528241080
Status Active
Credentials MD
Entity Individual
Enumeration date 12/07/2007
Last updated 10/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 045869
  • Other 969161 AETNA
  • CT Other 045869 CONNECTICARE
  • CT Other PENDING RR MEDICARE
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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