Provider Demographics
NPI:1356450951
Name:BLUESTONE PEDIATRICS, PLC
Entity Type:Organization
Organization Name:BLUESTONE PEDIATRICS, PLC
Other - Org Name:BLUESTONE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-437-4800
Mailing Address - Street 1:4059 QUARLES CT
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8717
Mailing Address - Country:US
Mailing Address - Phone:540-437-4800
Mailing Address - Fax:540-437-9012
Practice Address - Street 1:4059 QUARLES CT
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8717
Practice Address - Country:US
Practice Address - Phone:540-437-4800
Practice Address - Fax:540-437-9012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044033208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty