Individual
DR. JOAN MARILYN STOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL, BOSTON, MA 02115-5724
(617) 355-4697
(617) 730-0466
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL, BOSTON, MA 02115-5724
(617) 355-4697
(617) 730-0466
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
52773
MA
208000000X
Pediatrics Physician
52773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052773
TUFTS HEALTH PLAN
MA
05
—
6198511
—
MA
01
—
J04982
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
08/16/2007
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