Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 007940 | CT |
NPI | 1063502300 |
---|---|
Provider Name | Dr. Steven Aaron Fischman |
First Address | West Hartford, CT 06107-1816 |
Second Address | West Hartford, CT 06107-1816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |