| Doctor Name: | MR. KARL STEWART NEUBECKER |
| NPI Number: | 1538152921 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.M.SC., PA-C |
| License Number: | 001444 |
| Business Practice Address: | 7 Summit Cir Ellington, CT - 060293897 |
| Business Phone Number: | 8602689447 |
| Business Fax Number: | |
| Mailing Address: | 7 Summit Cir, ELLINGTON |
| State: | CT |
| Postal Code: | 060293897 |
| Phone Number: | 8602689447 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2005 |
| NPI Last Update Date: | 08/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 001444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |