Provider Demographics
NPI:1932101664
Name:STONE, PAUL A (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-342-3150
Mailing Address - Fax:856-968-8418
Practice Address - Street 1:ONE COOPER PLAZA
Practice Address - Street 2:THE COOPER HOSPITALIST TEAM
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-342-3150
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD055027L207R00000X, 207RH0003X
NJ25MA07500700207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2287883OtherUNITED HEALTHCARE
NJP00212192OtherRR MEDICARE
NJ1433244OtherAMERIHEALTH PPO
NJ9020608Medicaid
NJ3K6213OtherHEALTHNET, INC
NJOXFORDOtherP3611700
NJ3018718OtherAETNA
NJ35172OtherUNIVERSITY HEALTH PLAN
NJ2117896000OtherAMERIHEALTH HMO/KEYSTONE/IBC
NJP00212192OtherRR MEDICARE
600863Medicare UPIN