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Individual

STANLEY LOUIS BRIDGES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
535 E 70TH ST, NEW YORK, NY 10021-4898
(205) 266-6997
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
13913
AL
207RR0500X
Rheumatology Physician
Primary
305741
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000018169
BLUE CROSS
AL
05
000018169
AL
01
020008896
RAILROAD MEDICARE
AL
01
6321
HEALTHSPRING
AL
01
B21498
VIVA
AL
Enumeration date
06/07/2006
Last updated
04/29/2021
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