Healthcare Provider Details

I. General information

NPI: 1437330891
Provider Name (Legal Business Name): EDWARD H STOLAR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 17TH ST NW STE 300
WASHINGTON DC
20006-2506
US

IV. Provider business mailing address

900 17TH ST NW STE 300
WASHINGTON DC
20006-2506
US

V. Phone/Fax

Practice location:
  • Phone: 202-659-2223
  • Fax: 202-659-0289
Mailing address:
  • Phone: 202-659-2223
  • Fax: 202-659-0289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN M NIMICK
Title or Position: BILLING SPECIALIST
Credential:
Phone: 202-659-2223