Provider Demographics
NPI:1558970129
Name:STADLER, JOSHUA (DO)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:STADLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 DUNLAP LN APT M
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-7058
Mailing Address - Country:US
Mailing Address - Phone:501-545-9510
Mailing Address - Fax:717-231-8435
Practice Address - Street 1:3226 DUNLAP LN APT M
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-7058
Practice Address - Country:US
Practice Address - Phone:501-545-9510
Practice Address - Fax:717-231-8435
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ010039207R00000X
FLOS19922207R00000X
CODR.0070085208D00000X
ARE-16306208D00000X
PAOS022875207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist