Provider Demographics
NPI:1477616779
Name:STOLOFF, VANESSA VALENSI (MD)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:VALENSI
Last Name:STOLOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1223 PINEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-2134
Mailing Address - Country:US
Mailing Address - Phone:610-520-1330
Mailing Address - Fax:215-746-1032
Practice Address - Street 1:3535 MARKET ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3309
Practice Address - Country:US
Practice Address - Phone:215-746-0948
Practice Address - Fax:215-746-1032
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD421286207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine