Healthcare Provider Details

I. General information

NPI: 1922685841
Provider Name (Legal Business Name): JOSEPH EDWARD STAHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 OPITZ BLVD STE 300
WOODBRIDGE VA
22191-3330
US

IV. Provider business mailing address

2280 OPITZ BLVD STE 300
WOODBRIDGE VA
22191-3330
US

V. Phone/Fax

Practice location:
  • Phone: 703-523-9750
  • Fax: 855-210-2388
Mailing address:
  • Phone: 703-523-9750
  • Fax: 855-210-2388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0116035089
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: