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Individual

MR. JOHN G. STEPENSKY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.O.

Contact information

Practice address
513 S MAIN ST, NEW BRITAIN, CT 06051-4007
(860) 223-3973
(860) 223-3973
Mailing address
513 SOUTH MAIN ST., NEW BRITAIN, CT 06051
(860) 223-3973
(860) 223-3973

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
000406
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100000406CT01
BLUE CROSS BLUE SHIELD
CT
01
133452
EYEMED
CT
Enumeration date
04/20/2007
Last updated
01/28/2008
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