Provider Demographics
NPI:1336113588
Name:STOKEN, DREW JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:JOSEPH
Last Name:STOKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9212
Mailing Address - Country:US
Mailing Address - Phone:717-258-5694
Mailing Address - Fax:
Practice Address - Street 1:338 ALEXANDER SPRING RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9129
Practice Address - Country:US
Practice Address - Phone:717-249-6337
Practice Address - Fax:717-249-2415
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032077E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA122524Medicare PIN
PAB37255Medicare UPIN