Stoller, Seth R

Stoller, Seth R is an individual health care provider with primary practice located at 11 Overlook Road B110, Summit NJ 07901-3570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Stoller, Seth R can be contacted via phone (908) 522-2709.

Contact Information

Primary practice address
11 Overlook Road B110 Summit NJ 07901-3570
Fax: (908) 522-6123
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25MA07912600 New Jersey

Profile Details

NPI number 1467408583
LBN Legal business name Stoller, Seth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 28th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467408583 NPPES
New Jersey MEDICAID 0066516

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