Provider Demographics
NPI:1265692404
Name:J. FRED STONER, M.D., P.C.
Entity type:Organization
Organization Name:J. FRED STONER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:STONER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-658-6367
Mailing Address - Street 1:218 W MOODY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-2141
Mailing Address - Country:US
Mailing Address - Phone:724-658-6367
Mailing Address - Fax:724-652-1109
Practice Address - Street 1:218 W MOODY AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-2141
Practice Address - Country:US
Practice Address - Phone:724-658-6367
Practice Address - Fax:724-652-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-045566-L207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF32305Medicare UPIN