Jerusha E Stahl, MD
Internal Medicine in New Canaan, Connecticut
1083894638- Practice location
- 69 Grove St, New Canaan, CT 06840-5325
- Phone
- 844-359-8363
- Fax
- —
- Last updated
- November 16, 2023
Jerusha E Stahl is an Internal Medicine based in New Canaan, CT. Jerusha E Stahl practices in New Canaan, CT and has the professional credentials of MD. The NPI Number for Jerusha E Stahl is 1083894638 and holds a License No. 214779 (OR). The current practice location address for Jerusha E Stahl is 69 Grove St, New Canaan, CT 06840-5325 and can be reached out via phone at 844-359-8363.
Provider Profile Details
- NPI Number
- 1083894638
- Provider Name
- Jerusha E Stahl
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 69 Grove St, New Canaan, CT 06840-5325
- Phone Number
- 844-359-8363
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 13, 2007
- Last Update Date
- November 16, 2023
- Certification Date
- November 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 Grove St
New Canaan, CT 06840-5325 - City
- New Canaan
- State
- Connecticut
- Zip
- 06840-5325
- Phone Number
- 844-359-8363
Provider Business Mailing Address Details
- Address
- 3362 Southview Dr
Eugene, OR 97405-6243 - City
- Eugene
- State
- OR
- Zip
- 97405-6243
- Phone Number
- 917-232-1821
License Information
- License Number (1)
- 214779
- License State (1)
- OR
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 61425057
- License State (2)
- WA
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- A101309
- License State (3)
- CA
- Taxonomy (3)
- Internal Medicine · 207R00000X
- License Number (4)
- 1992372403
- License State (4)
- CT
- Taxonomy (4)
- Clinic/Center, Medical Specialty · 261QM2500X
- License Number (5)
- 1992372403
- License State (5)
- NJ
- Taxonomy (5)
- Clinic/Center, Medical Specialty · 261QM2500X
- License Number (6)
- 1043889967
- License State (6)
- NY
- Taxonomy (6)
- Clinic/Center, Medical Specialty · 261QM2500X
- License Number (7)
- 76444
- License State (7)
- CT
- Taxonomy (7)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jerusha E Stahl, MD?
The NPI number of Jerusha E Stahl, MD is 1083894638. It was assigned on November 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Jerusha E Stahl, MD?
Jerusha E Stahl, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in OR under license number 214779.
Where does Jerusha E Stahl, MD practice?
The practice location is 69 Grove St, New Canaan, CT 06840-5325. The office can be reached at 844-359-8363 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083894638 directly on the NPPES registry website.