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Contact Information

MARK STOLTENBERG, M.D., M.A.
55 FRUIT ST
FOUNDERS OFFICE 600
BOSTON, MA02114-2621
 Phone: 617-643-3596
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARK STOLTENBERG · (Male)

NPI Number 1114280310
Status Active
Credentials M.D., M.A.
Entity Individual
Enumeration date 06/21/2012
Last updated 09/19/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 1053657270
  • MA License # 266959
Hospital affiliation(s)
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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