Individual
MARK STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 ENGLISH CREEK AVE, BUILDING 900 SUITE 908-909, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 407-2273
Mailing address
9 WILDERNESS DR, MEDFORD, NJ 08055-3811
(609) 714-1014
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB05398
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0744844000
AMERIHEALTH
NJ
01
—
30036756
KEYSTONE MERCY
NJ
01
—
60018887
HORIZON NJ HEALTH
NJ
05
—
6349307
—
NJ
Enumeration date
06/10/2006
Last updated
01/16/2014
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