Healthcare Provider Details

I. General information

NPI: 1467973479
Provider Name (Legal Business Name): JOSHUA M STONE MS LGC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 06/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 HAMILTON BLVD STE 201
ALLENTOWN PA
18103-6122
US

IV. Provider business mailing address

504 SUSAN CIR
NORTH WALES PA
19454-1408
US

V. Phone/Fax

Practice location:
  • Phone: 484-664-7555
  • Fax:
Mailing address:
  • Phone: 610-585-7690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberPGC000048
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: