Organization
STOLL MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MATTHEW STOLL (PROVIDER/OWNER)
(215) 615-3020
Entity
Organization
Contact information
Practice address
1528 WALNUT ST STE 950, PHILADELPHIA, PA 19102-3628
(267) 273-1196
(267) 273-1193
Mailing address
1528 WALNUT ST STE 950, PHILADELPHIA, PA 19102-3628
(267) 273-1196
(267) 273-1193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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