Individual
STEFAN MANSOURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 CAMPBELL AVE, DEPARTMENT OF RADIOLOGY, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, DEPARTMENT OF RADIOLOGY, WEST HAVEN, CT 06516-2770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
54766
CT
Other
Enumeration date
11/30/2007
Last updated
11/18/2015
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