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Individual

DR. STEPHEN JOSEPH PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
91 VOLUNTOWN RD, PAWCATUCK, CT 06379-1366
(860) 599-5477
(860) 865-2389
Mailing address
91 VOLUNTOWN RD, PAWCATUCK, CT 06379-1366
(860) 599-5477
(860) 865-2389

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12629
NH
207R00000X
Internal Medicine Physician
242245-1
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
046242
CT

Other

Enumeration date
09/11/2006
Last updated
02/07/2017
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