Provider Demographics
NPI:1447537915
Name:DR STEFANA PECHER LLC
Entity type:Organization
Organization Name:DR STEFANA PECHER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEFANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PECHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-535-4600
Mailing Address - Street 1:PO BOX 417
Mailing Address - Street 2:
Mailing Address - City:NORTH STONINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06359-0417
Mailing Address - Country:US
Mailing Address - Phone:860-535-4600
Mailing Address - Fax:860-535-4605
Practice Address - Street 1:391 NORWICH WESTERLY RD
Practice Address - Street 2:
Practice Address - City:NORTH STONINGTON
Practice Address - State:CT
Practice Address - Zip Code:06359-9992
Practice Address - Country:US
Practice Address - Phone:860-535-4600
Practice Address - Fax:860-535-4605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty