Provider Demographics
NPI:1063537918
Name:STONE, SUMNER (MD)
Entity type:Individual
Prefix:
First Name:SUMNER
Middle Name:
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:165 TREMONT ST
Mailing Address - Street 2:#1102
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1152
Mailing Address - Country:US
Mailing Address - Phone:617-426-1295
Mailing Address - Fax:
Practice Address - Street 1:175 MIDDLESEX RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1837
Practice Address - Country:US
Practice Address - Phone:617-426-1295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA262942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry