Individual
DR. JEFFREY M STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD BCDA
Contact information
Practice address
86 SUMMIT AVE, SUMMIT, NJ 07901-3647
(908) 273-5558
(908) 273-3355
Mailing address
86 SUMMIT AVE, SUMMIT, NJ 07901-3647
(908) 273-5558
(908) 273-3355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2008
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158668V6Z
MEDICARE GROUP MEMEBER PTAN
NJ
Enumeration date
10/11/2006
Last updated
12/09/2009
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