Tiso, Stephanie Teresa
Tiso, Stephanie Teresa is an individual health care provider with primary practice located at 120 Park Lane Rd Suite A-101, New Milford CT 06776-2444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tiso, Stephanie Teresa can be contacted via phone (860) 355-8190.Contact Information
Primary practice address
120 Park Lane Rd Suite A-101
New Milford CT 06776-2444
Phone: (860) 355-8190
Fax: (860) 355-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 051071 | Connecticut |
Profile Details
| NPI number | 1891920625 |
|---|---|
| LBN Legal business name | Tiso, Stephanie Teresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2009 |
| Last updated | Sep 3rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891920625 | NPPES |
| Connecticut | MEDICAID | 008041366 |
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