| Doctor Name: | DR. ROY B STOLLER |
| NPI Number: | 1538239603 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS006048E |
| Business Practice Address: | 100 Ridge Rd Suite 12 Chadds Ford, PA - 193179784 |
| Business Phone Number: | 6104593001 |
| Business Fax Number: | 6104590399 |
| Mailing Address: | 222 Sykes Ln, WALLINGFORD |
| State: | PA |
| Postal Code: | 190866337 |
| Phone Number: | 6103578784 |
| Fax Number: | 6104590399 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | OS006048E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |