Individual
DR. PHILIP JOHN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HOFFMAN ST, ELMIRA, NY 14905-2220
(607) 733-1153
(607) 737-7968
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1911241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000004938
BCBS
—
05
—
01412835
—
NY
Enumeration date
08/31/2005
Last updated
09/23/2016
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