Individual
DR. BRAD STOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
339 E STREET RD, TREVOSE, PA 19053-7711
(215) 464-4111
(267) 574-8111
Mailing address
339 E STREET RD, TREVOSE, PA 19053-7711
(215) 464-4111
(267) 574-8111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007651L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01526143
—
PA
Enumeration date
06/30/2006
Last updated
07/09/2010
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