Basic Information
Provider Information
NPI: 1659638740
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STONE
FirstName: NATALEE
MiddleName: GENEVIEVE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 UNIVERSITY DR
Address2: MC CA410
City: HERSHEY
State: PA
PostalCode: 170332360
CountryCode: US
TelephoneNumber: 7175311726
FaxNumber: 7175310119
Practice Location
Address1: 804 GRANDVIEW DR STE 2
Address2:  
City: EPHRATA
State: PA
PostalCode: 17522
CountryCode: US
TelephoneNumber: 7174662500
FaxNumber: 7177337865
Other Information
ProviderEnumerationDate: 04/13/2012
LastUpdateDate: 07/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X0101267666VAN Allopathic & Osteopathic PhysiciansSurgery 
208600000XME136942FLN Allopathic & Osteopathic PhysiciansSurgery 
208600000XMD460322PAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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