Individual
DR. STUART WILLIAM GILLIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1969 TIMMERMAN HILL RD., CORTLAND, NY 13045
(607) 835-6570
Mailing address
1969 TIMMERMAN HILL RD., CORTLAND, NY 13045
(607) 835-6570
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
108764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00363084
—
NY
Enumeration date
12/11/2006
Last updated
10/02/2007
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