Provider Demographics
NPI:1306915947
Name:STILTNER, ANGELA R (MD)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:R
Last Name:STILTNER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:675 PETER JEFFERSON PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911
Mailing Address - Country:US
Mailing Address - Phone:434-817-6900
Mailing Address - Fax:434-295-2390
Practice Address - Street 1:675 PETER JEFFERSON PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911
Practice Address - Country:US
Practice Address - Phone:434-817-6900
Practice Address - Fax:434-295-2390
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2011-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101235839207Q00000X, 207QG0300X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
006348U92Medicare PIN