Individual
GARY J STADTMAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 BROADWAY, #630, NEW YORK, NY 10006-3003
(212) 809-1186
Mailing address
115 E 61ST ST, NEW YORK, NY 10021-8183
(212) 486-6715
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
184205
NY
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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