Individual
BRIAN G STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2690 KINGSTON RD, SUITE 103, EASTON, PA 18045-8001
(610) 438-8899
(610) 438-8997
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC004138L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004138L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00972929
RAILROAD MEDICARE
PA
Enumeration date
10/02/2006
Last updated
03/29/2022
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