Individual
PATRICIA B STOGSDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 FODEN RD, STE 3, SOUTH PORTLAND, ME 04106-1718
(207) 774-5816
(207) 523-8594
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
(207) 523-3649
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD13332
ME
207RI0200X
Infectious Disease Physician
Primary
MD13332
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014005
ANTHEM
—
01
—
1040791
AETNA
—
05
—
253140099
—
ME
Enumeration date
03/30/2006
Last updated
01/31/2019
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