Healthcare Provider Details

I. General information

NPI: 1164409520
Provider Name (Legal Business Name): DANIEL P STOLTZFUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41050 QUINN MEADOW CT
ALDIE VA
20105-3155
US

IV. Provider business mailing address

41050 QUINN MEADOW CT
ALDIE VA
20105-3155
US

V. Phone/Fax

Practice location:
  • Phone: 407-383-8758
  • Fax:
Mailing address:
  • Phone: 407-383-8758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME64213
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD042831
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberME64213
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: