Provider Demographics
NPI:1528036894
Name:STONE, RICHARD MAURY (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:MAURY
Last Name:STONE
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 1:11 JUNIPER LANE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030
Mailing Address - Country:US
Mailing Address - Phone:617-632-2214
Mailing Address - Fax:617-632-2933
Practice Address - Street 1:44 BINNEY STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-2214
Practice Address - Fax:617-632-2933
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53417207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3034941OtherMASSHEALTH MA MEDICAID
A14180DFOtherHPHC DFCI ONLY
8668478OtherCIGNA
2067491OtherAETNA US HEALTHCARE
3004512OtherUNITED HEALTH CARE
37678OtherFALLON COMM HEALTH PLAN
729748OtherTUFTS
729748OtherTUFTS
J07674Medicare ID - Type Unspecified