Stephen Conner Widman in Waterbury - Cardiovascular Disease

Stephen Conner Widman - NPI 1346278512

Stephen Conner Widman is a Cardiovascular Disease in Waterbury, Connecticut. Stephen Conner Widman practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Stephen Conner Widman is 1346278512. The last update date is 2015-03-02.

Stephen Conner Widman's current location address is 455 Chase Pkwy, Waterbury, Connecticut. You can contact this provider via phone number 2035731435 and fax number 2037557433. The mailing address for Stephen Conner Widman is 455 Chase Pkwy, Waterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Conner Widman
Address 455 Chase Pkwy, Waterbury, Connecticut
Phone Number 2035731435
Fax Number 2037557433
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1346278512
Provider Enumeration Date 2006-06-28
Last Updated Date 2015-03-02

Provider Mailing Address Detail

Address 455 Chase Pkwy
City Waterbury
State Connecticut (CT)
Post Code 67083352
Phone Number 2035731435
Fax Number 2037557433

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 30739
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0R0351 CT HEALTH NET OF NORTHEAST
1307398 CT --
10130739 CT CIGNA HEALTH PLANS
P381955 CT OXFORD HEALTH PLANS
110036141 CT RAILROAD MEDICARE
30739 CT CONNECTICARE
4127784 CT AETNA HEALTH LANS
1346278512 CT --
010030739CT01 CT ANTHEM BC & BS

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FAQs about Stephen Conner Widman

What is the unique 10-digit identifier code issued to Stephen Conner Widman by the Centers for Medicare & Medicaid Services?

The Stephen Conner Widman has been assigned the NPI (National Provider Identifier) 1346278512 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Stephen Conner Widman is physically located?

The Stephen Conner Widman is physically situated at the following address: 455 Chase Pkwy, Waterbury, CT, 67083352.

What is the Stephen Conner Widman's area of specialization and corresponding taxonomy classification?

The Stephen Conner Widman's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346278512 to Stephen Conner Widman?

The Centers for Medicare & Medicaid Services originally issued the 1346278512 to Stephen Conner Widman on 2006-06-28.

As of what date was the information pertaining to Stephen Conner Widman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stephen Conner Widman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-02.

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