Individual
STEPHEN J KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 CAMPUS DR, SUITE 2C, SCARBOROUGH, ME 04074-7133
(207) 883-7926
(207) 883-1925
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14178
ME
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD014178
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293280099
—
ME
Enumeration date
07/06/2006
Last updated
11/20/2022
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