Provider Demographics
NPI:1225400856
Name:MCINTOSH, CAITLIN ELIZABETH (DVM)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:MCINTOSH
Other - Last Name:GREENHOUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1269 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3123
Mailing Address - Country:US
Mailing Address - Phone:860-659-0848
Mailing Address - Fax:
Practice Address - Street 1:1269 MAIN ST
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-3123
Practice Address - Country:US
Practice Address - Phone:860-659-0848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4051174M00000X
NY11290174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian