Provider Demographics
NPI:1437216892
Name:STEIN, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:STEIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:525 RUSSELL ROAD
Mailing Address - Street 2:CEDARCREST HOSPITAL HUMAN RESOURCES
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111
Mailing Address - Country:US
Mailing Address - Phone:860-666-7621
Mailing Address - Fax:860-594-4900
Practice Address - Street 1:525 RUSSELL ROAD
Practice Address - Street 2:CEDARCREST HOSPITAL HUMAN RESOURCES
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111
Practice Address - Country:US
Practice Address - Phone:860-666-7621
Practice Address - Fax:860-594-4900
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CT017570207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C59617Medicare UPIN