Individual
DAVID STAIR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 272-2248
(203) 272-4470
Mailing address
2989 DIXWELL AVE, HAMDEN, CT 06518-3501
(203) 248-3013
(203) 248-2878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023081
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010023081CT14
BLUE CROSS
CT
01
—
0Q1864
HEALTH NET
CT
01
—
230810
CONNECTICARE
CT
01
—
2988614
AETNA
CT
01
—
P00092188
RAILROAD MEDICARE
CT
01
—
P2734634
OXFORD
CT
Enumeration date
05/31/2006
Last updated
07/08/2007
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