MEDICARE: GEORGE THOMAS STOLLSTEIMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD051184L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	908535	OTHER	PA	HIGHMARK BLUE SHIELD
3	5134565	OTHER	PA	CIGNA PA
4	5569545	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1174518757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE THOMAS STOLLSTEIMER MD

Provider Business Mailing Address
First Line	:	41 UNIVERSITY DR
Second Line	:	SUITE 300
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1873
Country	:	US
Telephone Number	:	215-710-5522
Fax Number	:	215-710-5181

Provider Business Practice Location Address
First Line	:	111 FLORAL VALE BLVD STE B
Second Line	:
City	:	YARDLEY
State	:	PA
Zip	:	19067-5522
Country	:	US
Telephone Number	:	267-364-9100
Fax Number	:	267-364-9101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	05/14/2021

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