| Doctor Name: | STEPHEN R WOODWORTH |
| NPI Number: | 1043283302 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 044476 |
| Business Practice Address: | 2 Ivy Brook Rd Suite 205 Shelton, CT - 064846416 |
| Business Phone Number: | 2039229466 |
| Business Fax Number: | 2039229477 |
| Mailing Address: | 2 Ivy Brook Rd, Suite 205 SHELTON |
| State: | CT |
| Postal Code: | 064846416 |
| Phone Number: | 2039229466 |
| Fax Number: | 2039229477 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 02/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | 044476 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |