Individual
DR. JONATHAN BRUCE STOLZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 ARLINGTON RD, WEST HARTFORD, CT 06107-1603
(860) 521-5685
Mailing address
32 ARLINGTON RD, WEST HARTFORD, CT 06107-1603
(860) 521-5685
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
021676
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021676
LICENSE TO PRACTICE MEDICINE
CT
Enumeration date
09/03/2008
Last updated
03/07/2023
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