Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerusha E Stahl, MD

Individual provider Internal Medicine Physician · NPI 1083894638

Jerusha E Stahl, MD is an Internal Medicine Physician in New Canaan, Connecticut. Practices as a sole proprietor and works from 3 locations. Licensed in California, Connecticut, New Jersey and New York and 2 more.

Licensed in
CA, CT, NJ, NY, OR, WA
In the registry since
2007
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

69 Grove St
New Canaan, CT 06840-5325
Phone: (844) 359-8363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 W Main St Ste 16, Wyckoff, NJ 07481-1406 — (844) 359-8363
  • 148 E 38th St, New York, NY 10016-2607 — (833) 955-3592

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 76444 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 214779 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 61425057 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A101309 (CA)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 1992372403 (CT)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 1992372403 (NJ)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 1043889967 (NY)

Record details

NPI number1083894638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 13, 2007
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address3362 Southview Dr, Eugene, OR 97405-6243

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