Individual
RANDY MICHAEL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9400
Mailing address
10 COLUMBUS BLVD FL 4, HARTFORD, CT 06106-1976
(860) 837-5560
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
76912
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD438744
PA
Other
Enumeration date
08/06/2007
Last updated
07/31/2024
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