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1114907029
REGINA K STUART
WILLIMANTIC, CT
NPI
1114907029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CT 57003)
Additional Taxonomies
208600000X Surgery
(Licence: IN 01061211A)
Enumeration Date
2006-01-18
Last Update Date
2017-10-10
Business Address
REGINA K STUART MD
5 FOUNDERS ST STE 102
WILLIMANTIC, CT 06226-2050
Phone number: 609-456-2898
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Mailing Address
REGINA K STUART MD
2518 E DUPONT RD
FORT WAYNE, IN 46825-1675
Phone number: 260-432-4400
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