Individual
DR. BRAD RYAN STAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 CEDAR ST, DANA 3, NEW HAVEN, CT 06510-3206
(203) 785-4129
Mailing address
333 CEDAR ST, DANA 3, NEW HAVEN, CT 06510-3206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276391
NY
207RC0000X
Cardiovascular Disease Physician
56199
CT
207RI0011X
Interventional Cardiology Physician
Primary
56199
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2009
Last updated
03/07/2017
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