Provider Demographics
NPI:1215005863
Name:STAHLMAN, ROY ALVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:ALVIN
Last Name:STAHLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:714 CLYDE CIR
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1102
Mailing Address - Country:US
Mailing Address - Phone:215-492-2400
Mailing Address - Fax:
Practice Address - Street 1:3751 ISLAND AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-3237
Practice Address - Country:US
Practice Address - Phone:215-492-2400
Practice Address - Fax:215-492-1245
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020634E2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB30340Medicare UPIN