# STEVEN THORNQUIST, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881932945
- **Authorized official:** DR. STEVEN CRAIG THORNQUIST M.D. (MEMBER/MANAGER)
- **Authorized official phone:** (203) 452-9723

## Contact information

- **Practice address:** 2 CORPORATE DR, SUITE 112, TRUMBULL, CT 06611-1376
- **Practice address phone:** (203) 452-9723
- **Practice address fax:** (203) 452-9724
- **Mailing address:** 2 CORPORATE DR, SUITE 112, TRUMBULL, CT 06611-1376
- **Mailing address phone:** (203) 452-9723
- **Mailing address fax:** (203) 452-9724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 031010 | CT | Yes |

## Other

- **Enumeration date:** 01/24/2013
- **Last updated:** 01/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001310101 | — | CT |