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Individual

STANLEY J STUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-9116
Mailing address
185 HIGH WOOD DR, SOUTH GLASTONBURY, CT 06073-2908
(617) 939-6413

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
220558
MA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
050575
CT

Other

Enumeration date
10/12/2006
Last updated
01/28/2014
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