Individual
RANDY SCOTT STOLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 FORSYTHE ST, FAYETTEVILLE, NC 28303-5426
(910) 824-7619
(910) 824-7754
Mailing address
200 FORSYTHE ST, FAYETTEVILLE, NC 28303-5426
(910) 824-7619
(910) 824-7754
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2014-02205
NC
207K00000X
Allergy & Immunology Physician
D0088620
MD
207K00000X
Allergy & Immunology Physician
ME142529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417928318
—
NC
01
—
NCL232A
MEDICARE PTAN
NC
Enumeration date
01/30/2006
Last updated
03/22/2022
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