Individual
MARY D STEPANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1423 CHAPEL ST, NEW HAVEN, CT 06511
(203) 865-3852
(203) 865-2983
Mailing address
100 RUGGLES RD, GUILFORD, CT 06437
(203) 453-6234
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002836
CT
Other
Enumeration date
07/31/2006
Last updated
10/23/2012
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