Individual
DR. ELAINE V STASNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
97 SHERMAN DR, ST JOHNSBURY PEDIATRICS, ST JOHNSBURY, VT 05819-9280
(802) 748-5131
Mailing address
97 SHERMAN DR, ST JOHNSBURY, VT 05819-9280
(802) 748-5131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-000778
VT
208000000X
Pediatrics Physician
10695
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2061
—
VT
05
—
30200431
—
NH
Enumeration date
06/02/2006
Last updated
03/09/2012
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