Provider Demographics
NPI:1821070855
Name:STONE, JAMES R (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:STONE
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS. GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:55 FRUIT ST WRN 202
Practice Address - Street 2:PATHOLOGY ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-2967
Practice Address - Fax:617-726-7474
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA203706207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ22727OtherBCBS OF MA
MA0106607Medicaid
MA408232OtherTUFTS HEALTH PLAN
MA0106607Medicaid
MA408232OtherTUFTS HEALTH PLAN