Provider Demographics
NPI:1336134576
Name:STOHR, GEORGE M (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:M
Last Name:STOHR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1000 ASYLUM AVE
Mailing Address - Street 2:SUITE 3201E
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1770
Mailing Address - Country:US
Mailing Address - Phone:860-525-3322
Mailing Address - Fax:860-714-8808
Practice Address - Street 1:114 WOODLAND ST
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1208
Practice Address - Country:US
Practice Address - Phone:860-714-4092
Practice Address - Fax:860-714-8808
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2008-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0411882085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I13763Medicare UPIN