Provider Demographics
NPI:1457345852
Name:STONE, CHERYLE A (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYLE
Middle Name:A
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5950 SR 6
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:TUNKHANNOCK
Mailing Address - State:PA
Mailing Address - Zip Code:18657-7905
Mailing Address - Country:US
Mailing Address - Phone:570-836-6808
Mailing Address - Fax:570-836-5536
Practice Address - Street 1:5950 SR 6
Practice Address - Street 2:4TH FLOOR
Practice Address - City:TUNKHANNOCK
Practice Address - State:PA
Practice Address - Zip Code:18657-7905
Practice Address - Country:US
Practice Address - Phone:570-836-6808
Practice Address - Fax:570-836-5536
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2013-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD041626E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027011330001Medicaid
PA173006YGDBMedicare PIN
PA1027011330001Medicaid