Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | MD12105 | RI |
Y | 207RP1001X | Pulmonary Disease | MD12105 | RI |
NPI | 1538108857 |
---|---|
Provider Name | Andrew C Stone |
First Address | Cranston, RI 02920-0269 |
Second Address | Cranston, RI 02920-3001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 05/05/2020 |