Maria Nc Stack


Address: 680 S Main St, Suite 205, Cheshire, CT 06410-3190

Maria Nc Stack (NPI# 1861490104, PAC ID# 4688720923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1861490104
PAC ID by PECOS 4688720923
Professional Enrollment ID I20090929000006
Full Name Maria Nc Stack
Address 680 S Main St
Suite 205
Cheshire
CT 06410-3190
Gender F
Medical School JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty INTERNAL MEDICINE
Secondary Specialties GERIATRIC MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL
070031 GRIFFIN HOSPITAL
070017 MIDSTATE MEDICAL CENTER
070035 THE HOSPITAL OF CENTRAL CONNECTICUT

Other Locations

Address Phone Organization
680 S Main St, Suite 205, Cheshire, CT 06410-3190

Organization Information

Office Location

Street Address 680 S MAIN ST
SUITE 205
City CHESHIRE
State CT
Zip 06410-3190

Physicians in the same location

Name Specialty Organization Address
Wanda M Kirejczyk Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Robert Spillane Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Shahar Glomski Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Harry Hajedemos Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Alfred G Gladstone Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Richard J Gessman Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Barry Stein Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Robert R Gendler Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Herb Lustberg Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
Stacy L Spooner Diagnostic Radiology Meriden Imaging Center Inc 680 S Main St, Cheshire, CT 06410-3181
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Competitor

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City CHESHIRE
Zip Code 06410
Specialty INTERNAL MEDICINE
City + Specialty CHESHIRE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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