Individual
GLENN STOLTZFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-5455
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD032649E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11021168
—
PA
Enumeration date
03/31/2006
Last updated
08/10/2018
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