Individual
STEPHEN D GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 KENNEDY DR, TORRINGTON, CT 06790-7204
(860) 489-7314
(860) 489-7213
Mailing address
220 KENNEDY DR, TORRINGTON, CT 06790-7204
(860) 489-7314
(860) 489-7213
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036812
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001368126
—
CT
01
—
26551
DEPT OF CONSUMER PROTECT
CT
Enumeration date
06/24/2006
Last updated
09/25/2024
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