Provider Demographics
NPI:1750720538
Name:STOLTZFUS, JAMES D JR (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:STOLTZFUS
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:184 BARTON ST
Mailing Address - Street 2:SUBLEVEL 1
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-1573
Mailing Address - Country:US
Mailing Address - Phone:716-881-6191
Mailing Address - Fax:716-881-6247
Practice Address - Street 1:184 BARTON ST
Practice Address - Street 2:SUBLEVEL 1
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-1573
Practice Address - Country:US
Practice Address - Phone:716-881-6191
Practice Address - Fax:716-881-6247
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2016-06-16
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Provider Licenses
StateLicense IDTaxonomies
PAMT205128207Q00000X
NY284936207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine