Alicia Stanton MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

033768 Issued in CT

Legal business name

ALICIA STANTON MD, PA

Doing business as

BodyLogicMD of Hartford

Practice address

195 W Center St
Manchester, CT 06040-4858

Phone

(800) 959-2758

Fax

(860) 432-5876

NPI assigned

Mar 27, 2009

Last updated

Mar 27, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alicia Stanton, M.D.

Title

Director

Phone

(800) 959-2758

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Hartford Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1770725384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOODLAND ST",
            "address_2": "SUITE 121",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054318",
            "telephone_number": "800-959-2758",
            "fax_number": "860-432-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404858",
            "telephone_number": "800-959-2758",
            "fax_number": "860-432-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA STANTON MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-959-2758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "033768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Hartford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kareem Atiba Alexis, MD, MPH
• Nadiya Alexis
• Bushra Khalid Ali Alfakhri, M.D.
• Ali Shakibai, MD, LLC
• Zonia Ali, MD
• Jessica Aligata
• Align Dental of Manchester PC
• Alison Lewis, LCSW, LLC
• Charley Allen
• Melissa L Allen

• Specialist in Manchester, CT
• Providers in Manchester, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.