Individual
DR. STEPHEN CONNER WIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 CHASE PKWY, WATERBURY, CT 06708-3352
(203) 573-1435
(203) 755-7433
Mailing address
455 CHASE PKWY, WATERBURY, CT 06708-3352
(203) 573-1435
(203) 755-7433
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
030739
CT
207RI0011X
Interventional Cardiology Physician
Primary
030739
CT
207UN0901X
Nuclear Cardiology Physician
030739
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307398
—
CT
01
—
010030739CT01
ANTHEM BC & BS
CT
01
—
010130739
CIGNA HEALTH PLANS
CT
01
—
030739
CONNECTICARE
CT
01
—
0R0351
HEALTH NET OF NORTHEAST
CT
01
—
110036141
RAILROAD MEDICARE
CT
05
—
1346278512
—
CT
01
—
4127784
AETNA HEALTH LANS
CT
01
—
P381955
OXFORD HEALTH PLANS
CT
Enumeration date
06/28/2006
Last updated
03/02/2015
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