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General NPI Number Information
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NPI Number | 1477869782
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Entity Type | Organization
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Legal Business Name | CHESTER I. STONE. M.D. P.A.
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 66 SUNSET STRIP # 300
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City | SUCCASUNNA
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State | NJ
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Zip | 07876
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Country | US
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Telephone | 973-927-3388
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Fax | 973-927-2590
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Provider Business Mailing Address
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Address Line | 66 SUNSET STRIP # 300
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City | SUCCASUNNA
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State | NJ
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Zip | 07876
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Country | US
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Telephone | 973-927-3388
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Fax | 973-927-2590
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Authorized Official
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Title or Position | M.D.
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Name | DR. CHESTER IRWIN STONE
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Credential | M.D
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Telephone | 973-927-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 25MA03163500
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License Number State | NJ
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