Provider Demographics
NPI:1285732966
Name:STADLER, SARAH S (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:S
Last Name:STADLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:914 E JEFFERSON ST
Mailing Address - Street 2:SUITE G2
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5376
Mailing Address - Country:US
Mailing Address - Phone:434-296-9600
Mailing Address - Fax:434-296-9645
Practice Address - Street 1:914 E JEFFERSON ST
Practice Address - Street 2:SUITE G2
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5376
Practice Address - Country:US
Practice Address - Phone:434-296-9600
Practice Address - Fax:434-296-9645
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101054918207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH90674Medicare UPIN