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Individual

ANDREW STOLBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MAIN EMERGENCY DEPARTMENT, 1800 ORLEANS ST SHEIKH ZAYED BUILDING SUITE 1085, BALTIMORE, MD 21287-0001
(410) 955-0141
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
235201
NY
207P00000X
Emergency Medicine Physician
Primary
D65854
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02664419
NY
05
D65854
MD
Enumeration date
11/20/2006
Last updated
03/07/2022
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