Individual
NICOLAS A STETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3130 FAIRVIEW PARK DR STE 500, THE LEWIN GROUP, FALLS CHURCH, VA 22042-4517
(703) 269-5535
Mailing address
3130 FAIRVIEW PARK DR STE 500, THE LEWIN GROUP, FALLS CHURCH, VA 22042-4517
(703) 269-5535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD066875L
PA
2080P0206X
Pediatric Gastroenterology Physician
MD066875L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001800090
—
PA
05
—
8218706
—
NJ
Enumeration date
07/31/2006
Last updated
11/26/2014
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