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Contact Information

MARIA N STACK, MD
680 S MAIN ST
STE. 205
CHESHIRE, CT06410-3181
 Phone: 203-699-9898
 Fax: 203-250-7878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARIA N STACK · (Female)

NPI Number 1861490104
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2005
Last updated 12/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 028514
Hospital affiliation(s)
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
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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