Provider Demographics
NPI:1043267966
Name:STOLAR, EDWARD H (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:H
Last Name:STOLAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1712 EYE STREET NW
Mailing Address - Street 2:SUITE 712
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3747
Mailing Address - Country:US
Mailing Address - Phone:202-659-2223
Mailing Address - Fax:202-659-0289
Practice Address - Street 1:1712 EYE STREET NW
Practice Address - Street 2:SUITE 712
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3747
Practice Address - Country:US
Practice Address - Phone:202-659-2223
Practice Address - Fax:202-659-0289
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2007-12-17
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Provider Licenses
StateLicense IDTaxonomies
DCMD13788207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC010581059OtherTAX ID NUMBER
DCB93080Medicare UPIN
000Z54E23Medicare PIN