Doctor Name: | STEPHEN MARC BAUER |
NPI Number: | 1477610913 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 047632 |
Business Practice Address: | 455 East Putnam Ave Old Greenwich, CT - 06870 |
Business Phone Number: | 2032106333 |
Business Fax Number: | 2035022615 |
Mailing Address: | 495 Hawley Ln, Suite 2a STRATFORD |
State: | CT |
Postal Code: | 066141514 |
Phone Number: | 2032106333 |
Fax Number: | 2035022615 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 11/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 047632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |