Stahl, Berry
Stahl, Berry is an individual health care provider with primary practice located at 370 Broad Ave Suite 200, Englewood NJ 07631-4305. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stahl, Berry can be contacted via phone (201) 871-3555.Contact Information
Primary practice address
370 Broad Ave Suite 200
Englewood NJ 07631-4305
Phone: (201) 871-3555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14655 | New Jersey |
| Dental Providers / Dentist | 122300000X | 38634 | New York |
| Dental Providers / Dentist | 122300000X | 10236 | Florida |
Profile Details
| NPI number | 1780654947 |
|---|---|
| LBN Legal business name | Stahl, Berry |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780654947 | NPPES |
| New York | MEDICAID | 00984161 |
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