Waterford, Stephen D

Waterford, Stephen D is an individual health care provider with primary practice located at 201 State St , Erie PA 16550-2306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Waterford, Stephen D can be contacted via phone (814) 877-5600.

Contact Information

Primary practice address
201 State St Erie PA 16550-2306
Phone: (814) 877-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 295004 New York
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD476545 Pennsylvania

Profile Details

NPI number 1912234527
LBN Legal business name Waterford, Stephen D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Jun 29th, 2022 - about 3 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 1912234527 NPPES
New York MEDICAID 05314127

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