Provider Demographics
NPI:1972602183
Name:STONE, REBECCA S (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:S
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:560 HILLSIDE AVE STE H
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1232
Mailing Address - Country:US
Mailing Address - Phone:781-444-4722
Mailing Address - Fax:781-444-4721
Practice Address - Street 1:560 HILLSIDE AVE STE H
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:781-444-4722
Practice Address - Fax:781-444-4721
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2019-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA230290207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2134241Medicaid