Dr. Mark Stoltenberg, M.D., M.A.
Family Medicine, Hospice and Palliative Medicine in Boston, MA. Individual provider (NPI-1).
NPI number1114280310
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1114280310
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Stoltenberg
- Credential
- M.D., M.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2012
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QH0002X | Family Medicine, Hospice and Palliative Medicine | 266959 | MA | Yes |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 1053657270 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
55 Fruit StFounders Office 600
Boston, MA 02114-2621
Phone 617-643-3596
Mailing address
55 Fruit StreetFounders Office 600
Boston, Ma 02114, MA 02114
Phone 617-643-3596
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