Individual
DR. STEVEN C. THORNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 W MAIN ST STE 100, WATERBURY, CT 06708-3105
(203) 597-9100
(203) 573-4805
Mailing address
1201 W MAIN ST STE 100, WATERBURY, CT 06708-3105
(203) 597-9100
(203) 573-4805
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
031010
CT
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
031010
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5741404
AETNA
CT
Enumeration date
10/16/2006
Last updated
03/17/2018
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