Individual
DR. BERRY STAHL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
370 BROAD AVE, SUITE 200, ENGLEWOOD, NJ 07631-4305
(201) 871-3555
Mailing address
380 BROAD AVE, ENGLEWOOD, NJ 07631-4397
(201) 816-8948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10236
FL
122300000X
Dentist
Primary
14655
NJ
122300000X
Dentist
38634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00984161
—
NY
Enumeration date
01/23/2006
Last updated
07/09/2007
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