Individual
STACEY BIDIGARE WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 TREMONT ST, COS COB, CT 06807-2422
(586) 260-2095
Mailing address
26 TREMONT ST, COS COB, CT 06807-2422
(586) 260-2095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301084557
MI
Other
Enumeration date
02/23/2007
Last updated
07/23/2008
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