Individual
DR. PAUL STANISLAW JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 NOD RD, SUITE 204, AVON, CT 06001-3826
(860) 409-1515
Mailing address
PO BOX 8510, ALBANY, NY 12208-0510
(860) 409-1515
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
039755
CT
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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