Individual
DR. MARK STOLTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Contact information
Practice address
55 FRUIT ST, FOUNDERS OFFICE 600, BOSTON, MA 02114-2621
(617) 643-3596
Mailing address
55 FRUIT STREET, FOUNDERS OFFICE 600, BOSTON, MA 02114, MA 02114
(617) 643-3596
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
266959
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
1053657270
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2012
Last updated
09/19/2016
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