Provider Demographics
NPI:1053338905
Name:STOKES, DONALD MILTON (MPH, RD, CDN)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:MILTON
Last Name:STOKES
Suffix:
Gender:M
Credentials:MPH, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 BEVERLY RD
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-3303
Mailing Address - Country:US
Mailing Address - Phone:917-697-7614
Mailing Address - Fax:866-387-4207
Practice Address - Street 1:666 GLENBROOK RD
Practice Address - Street 2:SUITE 2C
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06906-1439
Practice Address - Country:US
Practice Address - Phone:800-658-0512
Practice Address - Fax:866-387-4207
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000764133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education