Provider Demographics
NPI:1598857781
Name:STONER, ROBERT ELMER (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ELMER
Last Name:STONER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:22 DULANEY HILLS COURT
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3183
Mailing Address - Country:US
Mailing Address - Phone:410-683-1353
Mailing Address - Fax:
Practice Address - Street 1:7505 OSLER DRIVE
Practice Address - Street 2:SUITE 403
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7739
Practice Address - Country:US
Practice Address - Phone:410-828-4499
Practice Address - Fax:410-828-0537
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD13272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8341Medicare ID - Type Unspecified
D74760Medicare UPIN