Individual
DR. JOSE PABLO STOLOVITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD, STE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Mailing address
5673 PEACHTREE DUNWOODY RD, STE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
029536
GA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
029536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000442714AG
—
GA
05
—
000442714AQ
—
GA
05
—
000442714AT
—
GA
01
—
3969952
CIGNA
GA
01
—
400117110
RAILROAD MEDICARE
GA
01
—
4134024
AETNA
GA
01
—
52530801
BCBS OF GEORGIA
GA
Enumeration date
07/06/2005
Last updated
02/01/2017
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