Provider Demographics
NPI:1609904960
Name:STEIN, SANDERS MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:SANDERS
Middle Name:MARTIN
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2777 SUMMER ST
Mailing Address - Street 2:SUITE 504B
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-4318
Mailing Address - Country:US
Mailing Address - Phone:230-324-0082
Mailing Address - Fax:203-325-0145
Practice Address - Street 1:2777 SUMMER ST
Practice Address - Street 2:SUITE 504B
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-4318
Practice Address - Country:US
Practice Address - Phone:230-324-0082
Practice Address - Fax:203-325-0145
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT286052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry