Provider Demographics
NPI:1851485130
Name:STEINMAN, STUART LEONARD (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:LEONARD
Last Name:STEINMAN
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 1:166 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5715
Mailing Address - Country:US
Mailing Address - Phone:203-354-5770
Mailing Address - Fax:203-354-5771
Practice Address - Street 1:166 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5715
Practice Address - Country:US
Practice Address - Phone:203-354-5770
Practice Address - Fax:203-354-5771
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT034778204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT250000309Medicare ID - Type Unspecified
CTB73686Medicare UPIN