Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 037765 | CT |
Y | 207R00000X | Internist | 037765 | CT |
Y | 111NI0900X | Internist | 037765 | CT |
NPI | 1144291162 |
---|---|
Provider Name | Dr. Stephen O'mahony |
First Address | Norwalk, CT 06850-3852 |
Second Address | Norwalk, CT 06850-3852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2006 |
Last Update Date | 01/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001377656 | (05) | CT |
010037765CT01 | ANTHEM B/C (01) | CT |
1982162 | UHC (01) | CT |
37765 | CONNECTICARE (01) | CT |
5174426-001 | CIGNA (01) | CT |
7688020 | AETNA (01) | CT |
H05602 | (02) | |
OV6308 | HEALTHNET (01) | DE |
P1871146 | OXFORD (01) | CT |