Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO1479 | ME |
NPI | 1427082916 |
---|---|
Provider Name | Dr. Raymond H Stone |
First Address | Auburn, ME 04210-5966 |
Second Address | Auburn, ME 04210-5966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 22/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
271010099 | (05) | ME |
G51811 | (02) | ME |