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Individual

STUART WALDSTREICHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
778 LONG RIDGE RD STE 101, STAMFORD, CT 06902-1265
(203) 967-2100
(203) 967-4872
Mailing address
778 LONG RIDGE RD STE 101, STAMFORD, CT 06902-1252
(203) 967-2100
(203) 967-4872

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02797
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010027907C501
BC/BS ID #
01
014929
CT CARE ID #
01
020184
HEALTHNET ID #
01
061246885
UNITED HEALTHCARE ID #
01
25046
OXFORD ID #
Enumeration date
09/27/2005
Last updated
04/11/2018
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