Provider Demographics
NPI:1497727978
Name:YU, STEPHEN C (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:C
Last Name:YU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:47 CANDLEWOOD HTS
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-4563
Mailing Address - Country:US
Mailing Address - Phone:203-788-6464
Mailing Address - Fax:
Practice Address - Street 1:120 PARK LANE RD STE A202
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2445
Practice Address - Country:US
Practice Address - Phone:860-354-3584
Practice Address - Fax:860-350-9069
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2023-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT032839208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001328394Medicaid
F51528Medicare UPIN
CT001328394Medicaid