Provider Demographics
NPI:1306009915
Name:JEFFREY B. STECKLER M.D.P.C.
Entity Type:Organization
Organization Name:JEFFREY B. STECKLER M.D.P.C.
Other - Org Name:JJEFFREY B. STECKLER M.D.P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:STECKLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-225-3587
Mailing Address - Street 1:35 PEARL ST
Mailing Address - Street 2:SUITE101
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2644
Mailing Address - Country:US
Mailing Address - Phone:860-225-3587
Mailing Address - Fax:860-229-2766
Practice Address - Street 1:35 PEARL ST
Practice Address - Street 2:SUITE101
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2644
Practice Address - Country:US
Practice Address - Phone:860-225-3587
Practice Address - Fax:860-229-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT200000158Medicare PIN