Individual
DR. DANIEL PAUL STUPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 TECHNOLOGY DR UNIT B106, TRUMBULL, CT 06611-6339
(203) 452-1411
(203) 452-1412
Mailing address
115 TECHNOLOGY DR UNIT B106, TRUMBULL, CT 06611-6339
(203) 452-1411
(203) 452-1412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
045783
CT
207R00000X
Internal Medicine Physician
245703
NY
207RG0100X
Gastroenterology Physician
Primary
045783
CT
Other
Enumeration date
08/16/2007
Last updated
08/06/2013
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