Stephen M Donnelly in Windham - Pediatrics
Stephen M Donnelly - NPI 1063505782
Stephen M Donnelly is a Pediatrics in Windham, Maine. Stephen M Donnelly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephen M Donnelly is 1063505782. The last update date is 2012-06-12.
Stephen M Donnelly's current location address is 582 Roosevelt Trail, Windham, Maine. You can contact this provider via phone number 2078923233 and fax number 2078930752. The mailing address for Stephen M Donnelly is 582 Roosevelt Trail, Windham, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen M Donnelly |
|---|---|
| Address | 582 Roosevelt Trail, Windham, Maine |
| Phone Number | 2078923233 |
| Fax Number | 2078930752 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1063505782 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2012-06-12 |
Provider Mailing Address Detail
| Address | 582 Roosevelt Trail |
|---|---|
| City | Windham |
| State | Maine (ME) |
| Post Code | 40624904 |
| Phone Number | 2078923233 |
| Fax Number | 2078930752 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 1581 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 254690099 | ME | -- | |
| 30226080 | NH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephen M Donnelly by the Centers for Medicare & Medicaid Services?
The Stephen M Donnelly has been assigned the NPI (National Provider Identifier) 1063505782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Stephen M Donnelly?
The Stephen M Donnelly is physically situated at 582 Roosevelt Trail, in the city of Windham, state of ME, with the postal code 40624904.
What is the Stephen M Donnelly's area of specialization and corresponding taxonomy classification?
The Stephen M Donnelly's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
When did Stephen M Donnelly receive its 1063505782 assignment?
The Stephen M Donnelly was assigned its 1063505782 on 2006-10-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Stephen M Donnelly last refreshed?
The information related to the Stephen M Donnelly, including its address, specialty, and other relevant details, was last updated on 2012-06-12.
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