Individual
DR. STUART M KILSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12200 WARWICK BLVD STE 290, NEWPORT NEWS, VA 23601-2344
(757) 534-5454
Mailing address
1 EDGEWATER ST, STATEN ISLAND, NY 10305-4907
(718) 226-1047
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
15204L
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
25MA06661300
NJ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
ME0070480
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101271302
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01507726
—
NY
Enumeration date
10/23/2006
Last updated
08/03/2021
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