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Individual
DR. STEPHEN M JENDZEJEC
Active
Individual
DR. STEPHEN M JENDZEJEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1287
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003689
ANTHEM BLUE CROSS BLUE SH
—
01
—
010467585
AETNA HMO
—
01
—
010467585001
ANTHEM BLUE CROSS BLUE SH
—
01
—
0405236YPME01
ANTHEM BCBS NEW HAMPSHIRE
—
01
—
080140515
RAILROAD MEDICARE
—
01
—
283840099
PRIMECARE MEDICAID
—
05
—
283840099
—
ME
01
—
3646359
CIGNA HEALTHCARE
—
01
—
596163
AETNA NONHMO GROUP
—
01
—
E10019
HARVARD PILGRIM
—
01
—
MM2427
MEDICARE B
—
01
—
YORK083565
ANTHEM BCBS NEW HAMPSHIRE
—
Enumeration date
04/07/2006
Last updated
04/12/2011
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