Provider Demographics
NPI:1952962995
Name:STOLZ, JOSHUA ALEXANDER (DO)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ALEXANDER
Last Name:STOLZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:JOSH
Other - Middle Name:
Other - Last Name:STOLZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1509 ANNA MARIE CIR
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-4045
Mailing Address - Country:US
Mailing Address - Phone:215-407-9271
Mailing Address - Fax:
Practice Address - Street 1:2601 HOLME AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2007
Practice Address - Country:US
Practice Address - Phone:215-407-9271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT019440207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine