Provider Demographics
NPI:1396703765
Name:STONE, ARLEN D (MD)
Entity type:Individual
Prefix:
First Name:ARLEN
Middle Name:D
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARLEN
Other - Middle Name:DREW
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1 CENTURIAN DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2137
Mailing Address - Country:US
Mailing Address - Phone:302-999-0933
Mailing Address - Fax:302-999-8633
Practice Address - Street 1:1 CENTURIAN DR
Practice Address - Street 2:SUITE 105
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2137
Practice Address - Country:US
Practice Address - Phone:302-999-0933
Practice Address - Fax:302-999-8633
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10004131207P00000X, 207Q00000X
MDD0054073207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000540401Medicaid
MD368802000Medicaid
DE752451N51Medicare ID - Type Unspecified
DE000N22F12Medicare ID - Type Unspecified
DE0000540401Medicaid
MD368802000Medicaid