Provider Demographics
NPI:1063918134
Name:STADECKER, MONICA JULIA (MD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:JULIA
Last Name:STADECKER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2408 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3209
Mailing Address - Country:US
Mailing Address - Phone:203-626-0160
Mailing Address - Fax:203-294-6734
Practice Address - Street 1:330 BRIDGEPORT AVE
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-3861
Practice Address - Country:US
Practice Address - Phone:203-538-0020
Practice Address - Fax:203-538-0023
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2024-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT79249207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery