Individual
MR. STANLEY GERALD POSSICK
Active
Individual
MR. STANLEY GERALD POSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
017104
CT
2084P0800X
Psychiatry Physician
Primary
017104
CT
Other
Enumeration date
06/23/2006
Last updated
01/12/2012
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