MEDICARE: CHRISTINE M STAHL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	25MA12252800	NJ

General Provider Information

NPI Number	:	1518385889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE M STAHL MD

Provider Business Mailing Address
First Line	:	99 BEAUVOIR AVE FL 5
Second Line	:
City	:	SUMMIT
State	:	NJ
Zip	:	07901-3533
Country	:	US
Telephone Number	:	908-522-2829
Fax Number	:	908-522-6147

Provider Business Practice Location Address
First Line	:	99 BEAUVOIR AVE FL 5
Second Line	:
City	:	SUMMIT
State	:	NJ
Zip	:	07901-3533
Country	:	US
Telephone Number	:	908-522-2829
Fax Number	:	908-522-6147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	12/16/2025

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