Organization
EDWARD STAUB MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MICHAEL STAUB (PRESIDENT)
(203) 254-1275
Entity
Organization
Contact information
Practice address
1305 POST RD, FAIRFIELD, CT 06824-6016
(203) 254-1275
(203) 255-6391
Mailing address
1305 POST RD, FAIRFIELD, CT 06824-6016
(203) 254-1275
(203) 255-6391
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
018600
CT
Other
Enumeration date
11/29/2011
Last updated
11/08/2016
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