Provider Demographics
NPI:1518150168
Name:STONE, NORMAN EDWARD III (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:EDWARD
Last Name:STONE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1503 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-1112
Mailing Address - Country:US
Mailing Address - Phone:781-354-6596
Mailing Address - Fax:
Practice Address - Street 1:MALCOLM GROW MEDICAL CLINIC AND SURGERY CENTER
Practice Address - Street 2:1060 WEST PERIMETER RD
Practice Address - City:JOINT BASE ANDREWS
Practice Address - State:MD
Practice Address - Zip Code:20762
Practice Address - Country:US
Practice Address - Phone:240-612-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2020-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT048041207X00000X
WY9201A207X00000X
MTMED-PHYS-LIC-24372207X00000X
VA0101253175207X00000X
OH35.123056207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery