Provider Demographics
NPI:1871596544
Name:KITTAY, STUART A (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:A
Last Name:KITTAY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:16 HOSPITAL AVE
Mailing Address - Street 2:STE 302
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5994
Mailing Address - Country:US
Mailing Address - Phone:203-743-9225
Mailing Address - Fax:203-743-9226
Practice Address - Street 1:16 HOSPITAL AVE
Practice Address - Street 2:STE 302
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5994
Practice Address - Country:US
Practice Address - Phone:203-743-9225
Practice Address - Fax:203-743-9226
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CT024933207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB83216Medicare UPIN