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Individual

ROBERT A STANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Mailing address
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
017128
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000508
HEALTH NET
CT
05
001171289
CT
01
0085224
AETNA
CT
01
010017128CT02
ANTHEM BC/BS
CT
01
329051 (2) (3)
EMPIRE
CT
01
571289
CONNECTICARE
CT
01
TIN
GREAT WEST
01
ZS306
OXFORD
CT
Enumeration date
08/11/2006
Last updated
03/29/2017
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