Healthcare Provider Details

I. General information

NPI: 1538136114
Provider Name (Legal Business Name): ALEXANDRU A STOIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 10/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 LEROY ST
POTSDAM NY
13676-1786
US

IV. Provider business mailing address

PO BOX 5080
POTSDAM NY
13676-5080
US

V. Phone/Fax

Practice location:
  • Phone: 315-261-5920
  • Fax: 315-265-0878
Mailing address:
  • Phone: 315-265-3072
  • Fax: 315-265-0878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number161770
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: