Provider Demographics
NPI:1760469779
Name:TASHMAN, STUART M (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:M
Last Name:TASHMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:111 MALTESE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2115
Mailing Address - Country:US
Mailing Address - Phone:845-342-4774
Mailing Address - Fax:845-343-8741
Practice Address - Street 1:2142 ROUTE 302
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:NY
Practice Address - Zip Code:10919-3239
Practice Address - Country:US
Practice Address - Phone:845-888-2200
Practice Address - Fax:845-888-4202
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2024-09-26
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Provider Licenses
StateLicense IDTaxonomies
NY225542208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02318129Medicaid
NYH95597Medicare UPIN
NY02318129Medicaid