Organization
ALICIA STANTON MD, PA
Active
Other names
BodyLogicMD of Hartford
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA STANTON M.D. (DIRECTOR)
(800) 959-2758
Entity
Organization
Contact information
Practice address
195 W CENTER ST, MANCHESTER, CT 06040-4858
(800) 959-2758
(860) 432-5876
Mailing address
21 WOODLAND ST, SUITE 121, HARTFORD, CT 06105-4318
(800) 959-2758
(860) 432-5876
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033768
CT
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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