NPI 1376037747

Tami C Stuckey, NA

Practitioner Private Vehicle Middletown, CT

Practice location

Address: 148 Lakeside Ave, Middletown, CT 06457-4161
Phone: (860) 398-0034

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 206084271 (CT)

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Registry record

NPI: 1376037747
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2018
Record last updated: 19 Jun 2018

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.