Stahl, Theodore J
Stahl, Theodore J is an sole proprietor health care provider with primary practice located at 579A Cranbury Rd University Radiology Group Pc, East Brunswick NJ 08816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Stahl, Theodore J can be contacted via phone (732) 390-0040.Contact Information
Primary practice address
579A Cranbury Rd University Radiology Group Pc
East Brunswick NJ 08816
Phone: (732) 390-0040
Fax: (732) 390-1856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 25MA01683200 | New Jersey |
Profile Details
| NPI number | 1588641013 |
|---|---|
| LBN Legal business name | Stahl, Theodore J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jan 13th, 2014 - about 11 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 | 1588641013 | NPPES |
| New Jersey | MEDICAID | 1119508 |
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