# STUART W. GILLIM MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568555480
- **Authorized official:** DR. STUART WILLIAM GILLIM M.D. (PRESIDENT)
- **Authorized official phone:** (607) 835-6570

## Contact information

- **Practice address:** 1969 TIMMERMAN HILL RD., CORTLAND, NY 13045
- **Practice address phone:** (607) 835-6570
- **Mailing address:** 1969 TIMMERMAN HILL RD., CORTLAND, NY 13045
- **Mailing address phone:** (607) 835-6570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 108764 | NY | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 10/02/2007