Organization
STEVEN THORNQUIST, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CRAIG THORNQUIST M.D. (MEMBER/MANAGER)
(203) 452-9723
Entity
Organization
Contact information
Practice address
2 CORPORATE DR, SUITE 112, TRUMBULL, CT 06611-1376
(203) 452-9723
(203) 452-9724
Mailing address
2 CORPORATE DR, SUITE 112, TRUMBULL, CT 06611-1376
(203) 452-9723
(203) 452-9724
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
031010
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001310101
—
CT
Enumeration date
01/24/2013
Last updated
01/24/2013
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