Search › New Hampshire › 207R00000X
Ivan Stukalau, MD
NPI 1235701202 · on the registry since 2021
Practice
- Address
- 10 Members Way Fl 5
Dover, NH 03820 - Phone
- (603) 609-6800
- Organisation at this address
- Wentworth Douglass Hospital
Wentworth Douglass Physician CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 119
Additional practice sites
- 234 E 149th St, Bronx, NY
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- NH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Hampshire