Individual
STEPHEN MARC BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 STILLWATER AVE STE A, STAMFORD, CT 06902-9504
(844) 482-7285
Mailing address
6 RESEARCH DR STE 105, SHELTON, CT 06484-6228
(203) 210-6340
(203) 502-2615
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
047632
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477610913
—
CT
Enumeration date
01/03/2007
Last updated
06/13/2023
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