Individual
COOPER STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
4729 WALNUT ST, B#3, PHILADELPHIA, PA 19139-4404
(703) 304-5952
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS021868
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
03/17/2025
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