Stoller, Adam Jared

Stoller, Adam Jared is an sole proprietor health care provider with primary practice located at 163 Libbey Pkwy Suite 301, Weymouth MA 02189-3118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Stoller, Adam Jared can be contacted via phone (781) 337-4224.

Contact Information

Primary practice address
163 Libbey Pkwy Suite 301 Weymouth MA 02189-3118
Phone: (781) 337-4224
Fax: (781) 335-0429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X BB5078654-AS-143-AN Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X BB5078654-AS143-AN Massachusetts

Profile Details

NPI number 1699913178
LBN Legal business name Stoller, Adam Jared
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2009
Last updated Apr 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699913178 NPPES
Massachusetts MEDICAID 110083883A
Massachusetts Other AA188037

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