Provider Demographics
NPI:1336179829
Name:CASTRACANE, STEPHEN BRUCE (MD)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:BRUCE
Last Name:CASTRACANE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:655 SAW MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516
Mailing Address - Country:US
Mailing Address - Phone:203-934-2222
Mailing Address - Fax:203-934-0228
Practice Address - Street 1:655 SAW MILL ROAD
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516
Practice Address - Country:US
Practice Address - Phone:203-934-2222
Practice Address - Fax:203-934-0228
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT028135207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT180000337Medicare ID - Type Unspecified
E32386Medicare UPIN