Provider Demographics
NPI:1174518757
Name:STOLLSTEIMER, GEORGE THOMAS (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:THOMAS
Last Name:STOLLSTEIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:111 FLORAL VALE BLVD STE B
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5522
Practice Address - Country:US
Practice Address - Phone:267-364-9100
Practice Address - Fax:267-364-9101
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051184L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016448620006Medicaid
PA908535OtherHIGHMARK BLUE SHIELD
PA5134565OtherCIGNA PA
PA5569545OtherAETNA
PA908535OtherHIGHMARK BLUE SHIELD
PA5569545OtherAETNA
PA908535Medicare PIN