Individual
STACY D. HOLTZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
64 ROBBINS ST, SUITE 7004, WATERBURY, CT 06721
(203) 573-7307
(203) 573-6555
Mailing address
245 JEREMY SWAMP RD, SOUTHBURY, CT 06488-2360
(203) 267-5212
(203) 267-5212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000716
CT
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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