Stoltenberg, Mark
Stoltenberg, Mark is an individual health care provider with primary practice located at 55 Fruit St Founders Office 600, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Stoltenberg, Mark can be contacted via phone (617) 643-3596.Contact Information
Primary practice address
55 Fruit St Founders Office 600
Boston MA 02114-2621
Phone: (617) 643-3596
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 1053657270 | Illinois |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 266959 | Massachusetts |
Profile Details
NPI number | 1114280310 |
---|---|
LBN Legal business name | Stoltenberg, Mark |
Credentials | M.D., M.A. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2012 |
Last updated | Sep 19th, 2016 - about 8 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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