Individual
STEVEN E DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 NORTH ST, MGHA HOSPITALIST PROGRAM, WATERVILLE, ME 04901-4974
(207) 626-1018
(207) 626-1214
Mailing address
149 NORTH ST, MGHA HOSPITALIST PROGRAM, WATERVILLE, ME 04901-4974
(207) 626-1018
(207) 626-1214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
014039
ME
207Q00000X
Family Medicine Physician
014039
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336020099
—
ME
Enumeration date
03/29/2006
Last updated
07/30/2008
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