OrganizationActive
Alicia Stanton MD, PA
NPI 1770725384 · Specialist · Manchester, CT
Provider details
- NPI number
- 1770725384
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Alicia Stanton, Director(800) 959-2758
- License
- 033768 (CT)
Specialties & taxonomies
Other Service Providers
Practice location
195 W Center St
Manchester, CT 06040-4858
Phone: (800) 959-2758
Fax: (860) 432-5876
Approximate (ZIP-level) locationGet directions
Mailing address
21 Woodland St
Hartford, CT 06105-4318
Other names (DBA / former)
- Doing business as
- Bodylogicmd of Hartford
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2009-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.