Provider Demographics
NPI:1598115750
Name:STAHL, NATALIE ELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ELENA
Last Name:STAHL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:34 HAVERHILL ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-2884
Mailing Address - Country:US
Mailing Address - Phone:978-686-0090
Mailing Address - Fax:
Practice Address - Street 1:34 HAVERHILL ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-2884
Practice Address - Country:US
Practice Address - Phone:978-725-7410
Practice Address - Fax:978-687-2106
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2023-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA268387207Q00000X
CT66696207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004217099Medicaid
CT008098066Medicaid