Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2006-01219 | NC |
N | 208600000X | Surgeon | 2006-01219 | NC |
Y | 2086S0129X | Vascular Surgeon | 203033 | MA |
NPI | 1083605117 |
---|---|
Provider Name | Dr. David H Stone |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 08/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
143FY | BCBS (01) | NC |