Individual
STEVE WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 GRAND STREET, MEDICAL STAFF OFFICE, ATT: ONDREA CHASSE, NEW BRITAIN, CT 06050
(860) 224-5305
(860) 224-5565
Mailing address
100 GRAND STREET, NEW BRITAIN, CT 06050
(860) 224-5305
(860) 224-5565
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001758
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001758
LIC
CT
Enumeration date
09/11/2006
Last updated
07/08/2007
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