Individual
DR. STEPHANIE WAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7285
(203) 732-7187
Mailing address
44 HAMPTON CLOSE, ORANGE, CT 06477-1933
(203) 799-6122
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
029076
CT
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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