Individual
NICHOLAS J STAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S BURMA AVE STE 3500, GILLETTE, WY 82716-3426
(307) 688-3700
(307) 688-7920
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-3700
(307) 685-3079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
158778
NY
207RC0000X
Cardiovascular Disease Physician
9526A
WY
207RC0001X
Clinical Cardiac Electrophysiology Physician
158778
NY
207RI0011X
Interventional Cardiology Physician
158778
NY
207RI0011X
Interventional Cardiology Physician
Primary
9526A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01346327
—
NY
Enumeration date
05/17/2006
Last updated
10/14/2020
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