Provider Demographics
NPI:1326198078
Name:STELMACH, ERICA STEWART (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:STEWART
Last Name:STELMACH
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HITCHCOCK WAY
Mailing Address - Street 2:OB/GYN
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-4125
Mailing Address - Country:US
Mailing Address - Phone:603-695-2902
Mailing Address - Fax:603-623-7216
Practice Address - Street 1:100 HITCHCOCK WAY
Practice Address - Street 2:OB/GYN
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-4125
Practice Address - Country:US
Practice Address - Phone:603-695-2902
Practice Address - Fax:603-623-7216
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS