Provider Demographics
NPI:1184914343
Name:BLEICH, STEVEN NEIL (MD, MPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:NEIL
Last Name:BLEICH
Suffix:
Gender:
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:305 WESTERN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4380
Mailing Address - Country:US
Mailing Address - Phone:860-522-0604
Mailing Address - Fax:860-247-0422
Practice Address - Street 1:85 SEYMOUR ST STE 719
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5526
Practice Address - Country:US
Practice Address - Phone:860-522-0604
Practice Address - Fax:860-522-1761
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA258629207R00000X
CT56264207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008074433Medicaid
CT4829969OtherAETNA
CT005663214OtherUNITEDHEALTH CARE
CT1184914343OtherCONNECTICARE INC