Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 034778 | CT |
NPI | 1851485130 |
---|---|
Provider Name | Dr. Stuart Leonard Steinman |
First Address | Norwalk, CT 06851-5715 |
Second Address | Norwalk, CT 06851-5715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 30/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B73686 | (02) | CT |