Individual
MR. STANLEY M SUGARMAN
Active
Individual
MR. STANLEY M SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23640
WA
207R00000X
Internal Medicine Physician
Primary
MD00023640
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013796
—
WA
01
—
110047161
RAILROAD MEDICARE
WA
Enumeration date
06/21/2006
Last updated
07/18/2008
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