Maddox, Stephen J

Maddox, Stephen J is an individual health care provider with primary practice located at 160 Robbins St , Waterbury CT 06708-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maddox, Stephen J can be contacted via phone (203) 755-2999.

Contact Information

Primary practice address
160 Robbins St Waterbury CT 06708-2652
Phone: (203) 755-2999
Fax: (203) 755-6782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 230823 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 045563 Connecticut

Profile Details

NPI number 1083680342
LBN Legal business name Maddox, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Feb 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083680342 NPPES
Connecticut MEDICAID 008016138
Connecticut Other 045563

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