| Phillip W. Stone, Md, Llc | |
|
16013 Fields End Ct Woodbine MD 21797-7542 | |
| (410) 442-6864 | |
| (410) 970-6304 |
| Full Name | Phillip W. Stone, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16013 Fields End Ct, Woodbine, Maryland |
| Authorized Official Name and Position | Phillip W. Stone (SOLE MEMBER) |
| Authorized Official Contact | 4104426864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip W. Stone, Md, Llc 16013 Fields End Ct Woodbine MD 21797-7542 Ph: (410) 442-6864 | Phillip W. Stone, Md, Llc 16013 Fields End Ct Woodbine MD 21797-7542 Ph: (410) 442-6864 |
| NPI Number | 1912371832 |
|---|---|
| Provider Enumeration Date | 11/16/2015 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 5991006694 |
|---|---|
| Medicare Enrollment ID | O20151223000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912371832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | D47009 (Maryland) | Primary |
| Provider Name | Phillip W Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154396679 PECOS PAC ID: 0244355584 Enrollment ID: I20100910000197 |
Family Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708c Lisbon Center Dr, Woodbine, MD 21797 Phone: 410-795-7221 Fax: 410-795-8920 |