Individual
MR. JONATHAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
56 SIDE HILL RD, HAMDEN, CT 06517-1630
(203) 288-8204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000815
CT
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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