Provider Demographics
NPI:1831429885
Name:WESTSPORTS MEDICINE INC
Entity type:Organization
Organization Name:WESTSPORTS MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:STEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-354-5770
Mailing Address - Street 1:166 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5725
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:06851-5725
Practice Address - Country:US
Practice Address - Phone:203-354-5770
Practice Address - Fax:203-354-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT034778204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB73686Medicare UPIN
CT250000309Medicare PIN