Woodworth, Stephen R

Woodworth, Stephen R is an individual health care provider with primary practice located at 2 Ivy Brook Rd Suite 205, Shelton CT 06484-6416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Woodworth, Stephen R can be contacted via phone (203) 922-9466.

Contact Information

Primary practice address
2 Ivy Brook Rd Suite 205 Shelton CT 06484-6416
Phone: (203) 922-9466
Fax: (203) 922-9477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 044476 Connecticut
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 044476 Connecticut

Profile Details

NPI number 1043283302
LBN Legal business name Woodworth, Stephen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Feb 7th, 2013 - about 13 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 1043283302 NPPES
Connecticut Other 010044476CT01 ANTHEM
Connecticut MEDICAID 001444760 ANTHEM

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