Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 150347 | NY |
Y | 2086S0120X | Pediatric Surgery | G89130 | CA |
NPI | 1437242252 |
---|---|
Provider Name | Dr. Charles Jacob Stolar |
First Address | Santa Barbara, CA 93105-5316 |
Second Address | Santa Barbara, CA 93105-5316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 02/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00741002. | (05) | NY |
A64331 | (02) | NY |