| David M.stevenson | |
|
215 Sherman Ave Hamden CT 06518-2125 | |
| (203) 288-6800 | |
| (203) 287-1953 |
| Full Name | David M.stevenson |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 215 Sherman Ave, Hamden, Connecticut |
| Authorized Official Name and Position | David M. Stevenson (SOLE PROPRIATOR) |
| Authorized Official Contact | 2032886800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M.stevenson 215 Sherman Ave Hamden CT 06518-2125 Ph: (203) 288-6800 | David M.stevenson 215 Sherman Ave Hamden CT 06518-2125 Ph: (203) 288-6800 |
| NPI Number | 1003032038 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003032038 | NPI | - | NPPES |
| 004192267 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 002031 (Connecticut) | Primary |
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