Provider Demographics
NPI:1790217701
Name:STAHL-SAPIN, CHELSEA
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:STAHL-SAPIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MOUNT PLEASANT AVE
Mailing Address - Street 2:APT K4
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4049
Mailing Address - Country:US
Mailing Address - Phone:201-873-1239
Mailing Address - Fax:
Practice Address - Street 1:8-10 SADDLE RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5720
Practice Address - Country:US
Practice Address - Phone:201-797-8711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program