Provider Demographics
NPI:1942487699
Name:STUTZMAN, CLAIRE PHILLILPS (DO)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:PHILLILPS
Last Name:STUTZMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1815 CLINTON AVE S
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5720
Mailing Address - Country:US
Mailing Address - Phone:585-473-3535
Mailing Address - Fax:585-473-1837
Practice Address - Street 1:1815 CLINTON AVE S
Practice Address - Street 2:SUITE 310
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5720
Practice Address - Country:US
Practice Address - Phone:585-473-3535
Practice Address - Fax:585-473-1837
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY247363208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
RB8693Medicare PIN