Provider Demographics
NPI:1922108901
Name:TU, STEVE (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:TU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-5986
Mailing Address - Country:US
Mailing Address - Phone:860-649-9973
Mailing Address - Fax:860-647-7424
Practice Address - Street 1:178 HARTFORD RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5986
Practice Address - Country:US
Practice Address - Phone:860-649-9973
Practice Address - Fax:860-647-7424
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT039906207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI040000602RI01OtherANTHEM BLUE CROSS
RI1084740OtherAETNA
RI203497626OtherUNITED HEALTHCARE
RI413100OtherBLUECHIP
RI31200-2OtherBLUE SHIELD
RI203497626OtherUNITED HEALTHCARE
RIH41723Medicare UPIN