Provider Demographics
NPI:1326589813
Name:STEC, THOMAS (CPO)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:STEC
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 TECHNOLOGY DR
Mailing Address - Street 2:SUITE CP102
Mailing Address - City:TR
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6342
Mailing Address - Country:US
Mailing Address - Phone:203-261-1162
Mailing Address - Fax:203-452-9949
Practice Address - Street 1:115 TECHNOLOGY DR
Practice Address - Street 2:SUITE CP102
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6342
Practice Address - Country:US
Practice Address - Phone:203-261-1162
Practice Address - Fax:203-452-9949
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CPO 953OtherABC CERTIFICATION NUMBER