Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS016104 | PA |
N | 2081P2900X | Pain Medicine | OS016104 | PA |
NPI | 1003050535 |
---|---|
Provider Name | Dr. David S. Stolzenberg |
First Address | Philadelphia, PA 19107-4414 |
Second Address | Bensalem, PA 19020-2071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 10/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
352765GC6 | (02) | PA |