Individual
DR. STEPHENIE C. THURBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. O.
Contact information
Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7561
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041439
CT
207R00000X
Internal Medicine Physician
041439
CT
208D00000X
General Practice Physician
041439
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001414391
—
CT
Enumeration date
01/13/2006
Last updated
07/10/2017
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