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NPI 1790965259

NPI 1790965259 : IRENA O. STOLAR, M.D., P.A. : NEWARK, DE

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General NPI Number Information
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    NPI Number           |    1790965259
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    Entity Type          |    Organization 
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    Legal Business Name  |    IRENA O. STOLAR, M.D., P.A. 
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Dates
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    Enumeration Date     |    11/13/2007
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    Last Update Date     |    05/17/2017
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Provider Practice Location Address
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    Address Line         |    320 CHRISTIANA MEDICAL CTR 
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    City                 |    NEWARK
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    State                |    DE
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    Zip                  |    19702-1653
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    Country              |    US
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    Telephone            |    302-453-0500
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    Fax                  |    302-454-1906
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Provider Business Mailing Address
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    Address Line         |    320 CHRISTIANA MEDICAL CTR 
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    City                 |    NEWARK
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    State                |    DE
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    Zip                  |    19702-1653
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    Country              |    US
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    Telephone            |    302-453-0500
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    Fax                  |    302-454-1906
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. IRENA OLGA STOLAR 
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    Credential           |    M.D.
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    Telephone            |    302-453-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    C1-0001994
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    License Number State |    DE
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