Individual
PETER J STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5522
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
240340-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02783700
—
NY
Enumeration date
07/21/2006
Last updated
07/10/2008
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