Individual
DR. BRADLEY HAROLD STAEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 WOODLAND ST, SUITE 15, HARTFORD, CT 06105-2372
(860) 522-1101
(860) 549-7092
Mailing address
19 WOODLAND ST, SUITE 15, HARTFORD, CT 06105-2372
(860) 522-1101
(860) 549-7092
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042159
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421594
—
CT
Enumeration date
05/01/2006
Last updated
02/23/2015
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