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Individual

DR. THOMAS E STALEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
116 E CENTER ST, SUITE 19, MANCHESTER, CT 06040-5215
(860) 643-2731
(860) 643-6707
Mailing address
116 E CENTER ST, SUITE 19, MANCHESTER, CT 06040-5215
(860) 643-2731
(860) 643-6707

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
24571
CT

Other

Enumeration date
03/09/2006
Last updated
07/08/2007
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