| Organization Name: | DAVID M.STEVENSON |
| NPI Number: | 1003032038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID M. STEVENSON (SOLE PROPRIATOR) |
| Mailing Address: | 215 Sherman Ave Hamden |
| State: | CT US |
| Postal Code: | 065182125 |
| Phone Number: | 2032886800 |
| Fax Number: | 2032871953 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 002031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |