Individual
PHILLIP STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16013 FIELDS END CT, WOODBINE, MD 21797-7542
(410) 442-6864
Mailing address
PO BOX 418, LISBON, MD 21765-0418
(410) 442-6864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0047009
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008203100
—
MD
01
—
0403181
EVERCARE
MD
01
—
093NER-534556-02
CAREFIRST BCBS OF MD
—
05
—
373091300
—
MD
01
—
53455602
BCBS
MD
01
—
KGO1ER-534556-02
CAREFIRST BCBS OF MD
—
01
—
T016-0007
BCBS-DC
—
Enumeration date
02/19/2006
Last updated
11/15/2022
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