Individual
JEFFERY DAVID STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-7937
Mailing address
307 S FRONT ST, HARRISBURG, PA 17104-1621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
299656
NY
207R00000X
Internal Medicine Physician
OS016611
PA
207RI0011X
Interventional Cardiology Physician
Primary
299656
NY
Other
Enumeration date
09/07/2011
Last updated
02/04/2021
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