Individual
MARTHA STITELMAN
Active
Individual
MARTHA STITELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
42-0008683
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018950
BLUE CROSS BLUE SHIELD
VT
05
—
0VN0578
—
VT
01
—
378491
MOHAWK VALLEY HEALTH PLAN
—
Enumeration date
06/02/2006
Last updated
06/07/2013
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