NPI 1316381494

David Alan Staudacher, VMD

Practitioner Veterinarian Canton, CT

Practice location

Address: 60 Lovely St, Canton, CT 06019-2630
Phone: (860) 693-0214
Fax: (860) 693-1432

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 2045 (CT)

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Registry record

NPI: 1316381494
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2013
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.