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Contact Information

GARY E STACK, MD
800 HOWARD AVE
YALE PHYSICIANS BUILDING
NEW HAVEN, CT06519-1369
 Phone: 203-785-2140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GARY E STACK · (Male)

NPI # 1982687463
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2005
Last updated 07/27/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 031831
  • CT Medicaid 001318311
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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