Provider Demographics
NPI:1518313469
Name:STRONG, STEPHEN HAMMOND (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:HAMMOND
Last Name:STRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 POST RD W
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4754
Mailing Address - Country:US
Mailing Address - Phone:203-226-0731
Mailing Address - Fax:203-226-1792
Practice Address - Street 1:333 POST RD W
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4754
Practice Address - Country:US
Practice Address - Phone:203-226-0731
Practice Address - Fax:203-226-1792
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT62478207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty