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Individual

J WEBSTER STAYMAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
126764-1
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
126764-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10032783
CDPHP
01
242002305
TRAVELERS RAILROAD MEDICA
Enumeration date
07/12/2005
Last updated
01/15/2009
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