Provider Demographics
NPI:1114924701
Name:SOLL, STEPHEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:M
Last Name:SOLL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-2619
Mailing Address - Country:US
Mailing Address - Phone:215-288-5000
Mailing Address - Fax:215-744-1233
Practice Address - Street 1:5001 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-2619
Practice Address - Country:US
Practice Address - Phone:215-288-5000
Practice Address - Fax:215-744-1233
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD049152L207W00000X
NJMA05909300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0142546306OtherAMERICHOICE PA
PA3Y3831OtherHEALTH NET
NJ5514801Medicaid
PA0014254630001Medicaid
PA304OtherELDER HEALTH
PA3439751OtherCIGNA
NJ01000743400OtherAMERICHOICE - HMO
NJ4329237OtherAETNA PPO
NJ3439751OtherCIGNA
NJ1012991OtherHORIZON NJ HEALTH
NJ1027256OtherKEYSTONE MERCY
NJ137804OtherAMERIHEALTH
PA0491283OtherAETNA- PA
PA01705OtherHEALTH PARTNERS
NJ0512890OtherAETNA - HMO
PA0651719000OtherINDEPENDENCE B/C
PA27807OtherHEALTH PARTNERS
NJ3439751OtherCIGNA
PA304OtherELDER HEALTH
NJ5514801Medicaid