MEDICARE: DR. MELISSA STONER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D0071254	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00921121	OTHER	MA	RR MEDICARE

General Provider Information

NPI Number	:	1265687875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA STONER M.D.

Provider Business Mailing Address
First Line	:	100 HOSPITAL RD
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4017
Country	:	US
Telephone Number	:	410-535-4488
Fax Number	:	410-535-8417

Provider Business Practice Location Address
First Line	:	8924 CHESAPEAKE AVE
Second Line	:
City	:	NORTH BEACH
State	:	MD
Zip	:	20714-4050
Country	:	US
Telephone Number	:	410-257-7279
Fax Number	:	410-257-4311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	01/16/2024

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Directions to “ DR. MELISSA STONER M.D.” Practice Location

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