Individual
DR. KENT I STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4229
(860) 696-2400
(860) 696-2410
Mailing address
1025 SILAS DEANE HWY, HARTFORD MEDICAL GROUP PC, WETHERSFIELD, CT 06109
(860) 696-2400
(860) 696-2411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022955
CT
2083X0100X
Occupational Medicine Physician
022955
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001229558
—
CT
Enumeration date
12/16/2005
Last updated
07/31/2013
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