Provider Demographics
NPI:1013083880
Name:STONE, ALAN W (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:W
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALAN
Other - Middle Name:W
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2021 K ST NW
Mailing Address - Street 2:SUITE 404
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1003
Mailing Address - Country:US
Mailing Address - Phone:202-466-8118
Mailing Address - Fax:202-466-2408
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:SUITE 404
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-466-8118
Practice Address - Fax:202-466-2408
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-25
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD5417207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C62638Medicare UPIN
410279Medicare ID - Type Unspecified