Individual
DR. JOHN STEPHEN ALLERDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
340004179
OH
207Q00000X
Family Medicine Physician
LT16010
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640408
—
OH
Enumeration date
03/16/2006
Last updated
05/13/2016
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