NPI 1558453795
Stanley Jerome White, REGISTEREDKT
Practice location
- Address
- 950 Campbell Ave, West Haven, CT 06516
- Phone
- (203) 932-5711
- Mailing address
- 94 Parkside Drive, New Haven, CT 06515
Registered specialties
Kinesiotherapist
Primary
Registry record
- NPI
- 1558453795
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Sep 2006
- Record last updated
- 7 Sep 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.