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Organization

STEPHEN R HOLZMAN, MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN R HOLZMAN M.D. (PSYCHIATRIST)
(860) 657-8868
Entity
Organization

Contact information

Practice address
200 OAK ST, GLASTONBURY, CT 06033-2320
(860) 657-8868
(860) 657-8802
Mailing address
200 OAK ST, GLASTONBURY, CT 06033-2320
(860) 657-8868
(860) 657-8802

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
023958
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001239581
CT
Enumeration date
04/23/2008
Last updated
04/23/2008
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