Provider Demographics
NPI:1780188383
Name:STONE, STEPHEN VAN DORN (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:VAN DORN
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9455 LORTON STATION BLVD.
Mailing Address - Street 2:202
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079
Mailing Address - Country:US
Mailing Address - Phone:703-339-8541
Mailing Address - Fax:703-339-9157
Practice Address - Street 1:9455 LORTON STATION BLVD.
Practice Address - Street 2:202
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079
Practice Address - Country:US
Practice Address - Phone:703-339-8541
Practice Address - Fax:703-339-9157
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101282312207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease