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DR. KENT I STAHL MD

Physicians Internal Medicine

Provider NPI: 1376529818

Provider Information:
DR. KENT I STAHL MD
Gender: M
Not Sole Proprietor

Practice Location:
1025 SILAS DEANE HWY  WETHERSFIELD, CT 06109-4229 US
Tel: 860-696-2400  Fax: 860-696-2410

Business Mailing Address:
1025 SILAS DEANE HWY HARTFORD MEDICAL GROUP PC WETHERSFIELD, CT 06109 US
Tel: 860-696-2400  Fax: 860-696-2411

NPI Information:
NPI: 1376529818
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XPhysicians
Internal Medicine
CT022955
N2083X0100XPhysicians
Preventive Medicine
CT022955

Other Provider Identifiers:

IssuerNumberStateType
001229558CT05



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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