Individual
JAMES STILLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 COLEMAN AVE, WATERTOWN, NY 13601-2217
(315) 755-2024
Mailing address
165 COLEMAN AVE, WATERTOWN, NY 13601-2217
(315) 755-2024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
226115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02370836
—
NY
Enumeration date
08/22/2006
Last updated
11/24/2015
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