Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD 4382 | RI |
NPI | 1033103098 |
---|---|
Provider Name | Dr. Stanley John Stutz JR. |
First Address | Seekonk, MA 02771-1303 |
Second Address | Providence, RI 02907-1510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 08/07/2007 |