Search › Connecticut › 207R00000X
Jerusha Stahl, MD
NPI 1083894638 · on the registry since 2007 · sole proprietor
Practice
- Address
- 69 Grove St
New Canaan, CT 06840 - Phone
- (844) 359-8363
- Organisation at this address
- Flyte Medical Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 148 E 38th St, New York, NY
- 500 W Main St Ste 16, Wyckoff, NJ
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
207R00000X
207R00000X
261QM2500X
261QM2500X
261QM2500X - Licence states on file
- OR, WA, CA, CT, NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut