Individual
STEPHEN POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5177
Mailing address
561 10TH AVE APT 46D, NEW YORK, NY 10036-3061
(917) 355-3553
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
047951
CT
207P00000X
Emergency Medicine Physician
Primary
211543
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02081583
—
NY
05
—
036106535
—
IL
Enumeration date
07/17/2006
Last updated
08/02/2013
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