STEPHEN J MASSIMI (Credential# 1156926) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
STEPHEN J MASSIMI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052074. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1 Blachley Rd, Stamford, CT 06902-0002. The current status is active.
| Licensee Name | STEPHEN J MASSIMI |
| Credential ID | 1156926 |
| Credential Number | 1.052074 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Blachley Rd Stamford CT 06902-0002 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1171229 | CSP.0055155 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1 BLACHLEY RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-0002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Ann Cody | 1 Blachley Rd, Stamford, CT 06902-0002 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Daniel Crowe | 1 Blachley Rd, Stamford, CT 06902-0002 | Occupational Therapist | 2020-06-16 ~ 2021-07-31 |
| Chelsea Piers Connecticut LLC | 1 Blachley Rd, Stamford, CT 06902-0001 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Nicholas Ryan Sgrignoli | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Bernard A Rawlins | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bradford Sutton Waddell | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas Higginbotham | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John D Dowdle Md | 1 Blachley Rd, Stamford, CT 06902-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew W Grose | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chelsea Piers Connecticut | 1 Blachley Rd, Stamford, CT 06902-0001 | Racquetball Facility Liquor | 2019-09-20 ~ 2021-01-19 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daphne A Scott | Hospital for Special Surgery, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory J Massimi | 1303 Edgewood Circle, Halifax, VA 24558 | Physician/surgeon | 2007-08-23 ~ 2008-08-31 |
| J. Stephen Roy | 7a Ludlow Rd, Westport, CT 06880-3043 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Stephen L Curry | Po Box 491, Litchfield, CT 06759 | Physician/surgeon | 2004-06-18 ~ 2005-08-31 |
| Stephen Fealy | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Stephen R Barone | 320 E 46th St Apt 16e, New York, NY 10017-3025 | Physician/surgeon | ~ |
| Stephen A Moe | Po Box 2236, New Haven, CT 06520 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Stephen M Dorros | Po Box, Santa Fe, CA 92067 | Physician/surgeon | 1975-04-02 ~ 1978-05-31 |
| Stephen Carragher | 410 Capitol Ave, Hartford, CT 06134 | Physician/surgeon | ~ |
| Stephen T. Moran | 20 E 22nd St, New York, NY 10010-6101 | Physician/surgeon | ~ |
| Stephen Andreoni | 162 Bay Ave, Halesite, NY 11743 | Physician/surgeon | 2016-11-30 ~ 2017-08-31 |
Please comment or provide details below to improve the information on STEPHEN J MASSIMI.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).