Individual
MR. KARL STEWART NEUBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.M.SC., PA-C
Contact information
Practice address
7 SUMMIT CIR, ELLINGTON, CT 06029-3897
(860) 268-9447
Mailing address
270 FARMINGTON AVE, STE 102, FARMINGTON, CT 06032-1920
(860) 549-8276
(860) 674-8084
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001444
CT
Other
Enumeration date
08/31/2005
Last updated
05/08/2017
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