Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD13788 | DC |
NPI | 1043267966 |
---|---|
Provider Name | Dr. Edward H Stolar |
First Address | Washington, DC 20006-3747 |
Second Address | Washington, DC 20006-3747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 17/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B93080 | (02) | DC |