Individual
STANLEY DEFAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 NASON DR, ROARING SPRING, PA 16673-1202
(814) 224-2141
Mailing address
PO BOX 8000, DEPARTMENT 431, BUFFALO, NY 14267-0002
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-039409-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1135187
—
MA
Enumeration date
08/02/2005
Last updated
07/08/2007
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