Most Relevant Information
Provider Data
| NPI Number: | 1003377631 |
| Provider Name: | STEPHAN ANTON BAYER |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2019 |
| Last Updated: | 03/27/2019 |
Provider Practice Location
205 ELM ST APT 5
WEST HAVEN
CT
065164659
Practice Location Phone/Fax
| Phone: | 7192876053 |
| Fax: |
Provider Mailing Location
205 ELM ST APT 5
WEST HAVEN
CT
065164659
Provider Mailing Phone/Fax
| Phone: | 7192876053 |
| Fax: |