Sugin, Stephanie L.

Sugin, Stephanie L. is an individual health care provider with primary practice located at 1201 W Main St Suite 100, Waterbury CT 06708-3105. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Sugin, Stephanie L. can be contacted via phone (203) 597-9100.

Contact Information

Primary practice address
1201 W Main St Suite 100 Waterbury CT 06708-3105
Phone: (203) 597-9100
Fax: (203) 596-4758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 032548 Connecticut
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 32548 Connecticut

Profile Details

NPI number 1114997137
LBN Legal business name Sugin, Stephanie L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 5th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114997137 NPPES
Connecticut Other 180000559 MEDICARE PTAN

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