Individual
DR. ADAM JARED STOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 LIBBEY PKWY, SUITE 301, WEYMOUTH, MA 02189-3118
(781) 337-4224
(781) 335-0429
Mailing address
163 LIBBEY PKWY, SUITE 301, WEYMOUTH, MA 02189-3118
(781) 337-4224
(781) 335-0429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BB5078654-AS-143-AN
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
BB5078654-AS143-AN
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083883A
—
MA
01
—
AA188037
HARVARD PILGRIM
MA
Enumeration date
01/22/2009
Last updated
04/22/2011
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