Healthcare Provider Details

I. General information

NPI: 1033387675
Provider Name (Legal Business Name): SARAH SHEEHAN STADLER MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2008
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 E JEFFERSON ST SUITE G2
CHARLOTTESVILLE VA
22902-4745
US

IV. Provider business mailing address

914 E JEFFERSON ST SUITE G2
CHARLOTTESVILLE VA
22902-4745
US

V. Phone/Fax

Practice location:
  • Phone: 434-296-9600
  • Fax: 434-296-9645
Mailing address:
  • Phone: 434-296-9600
  • Fax: 434-296-9645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number0101054918
License Number StateVA

VIII. Authorized Official

Name: SARAH S STADLER
Title or Position: PHYSICIAN
Credential: MD
Phone: 434-296-9600