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Individual
DR. STUART TRUST
Active
Individual
DR. STUART TRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1117151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020880201
ADVANTAGE HEALTH PLAN
—
01
—
000916582001
HEALTHNOW
—
05
—
00510678
—
NY
01
—
040426016443
FIDELIS CARE
—
01
—
100039145101
CHILD HEALTH PLUS
—
05
—
100039145101
—
NY
01
—
154507
CIGNA
—
01
—
265841
MVP
—
01
—
395
TOTAL CARE
—
01
—
4570301
AETNA PPO
—
01
—
894426
AETNA HMO
—
Enumeration date
01/04/2007
Last updated
07/08/2007
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