| Stephen R Holzman, Md Llc | |
|
200 Oak St Glastonbury CT 06033-2320 | |
| (860) 657-8868 | |
| (860) 657-8802 |
| Full Name | Stephen R Holzman, Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 Oak St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Stephen R Holzman (PSYCHIATRIST) |
| Authorized Official Contact | 8606578868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R Holzman, Md Llc 200 Oak St Glastonbury CT 06033-2320 Ph: (860) 657-8868 | Stephen R Holzman, Md Llc 200 Oak St Glastonbury CT 06033-2320 Ph: (860) 657-8868 |
| NPI Number | 1710152624 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 9234218207 |
|---|---|
| Medicare Enrollment ID | O20080501000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710152624 | NPI | - | NPPES |
| 001239581 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 023958 (Connecticut) | Primary |
| Provider Name | Stephen R Holzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821050915 PECOS PAC ID: 8426090895 Enrollment ID: I20050525000956 |
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