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Individual

BARBARA S STOUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
515 ABBOTT RD, SUITE 304, BUFFALO, NY 14220-1700
(716) 995-8801
(716) 995-8810
Mailing address
515 ABBOTT RD, SUITE 304, BUFFALO, NY 14220-1700
(716) 995-8801
(716) 995-8810

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
183576
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082563
GHI HMO LEGACY#
NY
01
00010154302
UNIVERA LEGACY#
NY
01
000523215006
HEALTH NOW BCBS LEGACY#
NY
01
040426003018
FIDELIS LEGACY#
NY
01
1205912
IHA LEGACY#
NY
01
139305-7W
WORKERS COMP LEGACY#
NY
01
159921DL
PREFERRED CARE LEGACY#
NY
05
8494418
NY
Enumeration date
05/24/2006
Last updated
11/22/2013
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