Individual
DR. STANLEY JAMES TILLINGHAST
Active
Individual
DR. STANLEY JAMES TILLINGHAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15000
HI
207RC0000X
Cardiovascular Disease Physician
Primary
G039776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000282038
HMSA BILLING NUMBER
HI
05
—
629917-01
—
HI
Enumeration date
03/01/2007
Last updated
04/24/2009
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