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Individual

DR. FREDERICK STONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16 MCLAREN ST, RED BANK, NJ 07701-2408
(732) 221-9860
Mailing address
16 MCLAREN ST, RED BANK, NJ 07701-2408
(732) 221-9860

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MA03479600
NJ
207ZP0101X
Anatomic Pathology Physician
Primary
MD441708
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0152854
NJ
01
221494442
TAX ID#
NJ
01
2406188000
AMERIHEALTH #
NJ
Enumeration date
06/15/2006
Last updated
05/02/2011
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