Individual
JEAN MARIE ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 MT BLUE CIR, STE 2, FARMINGTON, ME 04938-6239
(207) 778-3313
(207) 778-3544
Mailing address
115 MT BLUE CIR, STE 2, FARMINGTON, ME 04938-6239
(207) 778-3313
(207) 778-3544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12782
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048285
ANTHEM
ME
01
—
12782
STATE LISENSE
ME
05
—
298980000
—
ME
Enumeration date
06/27/2005
Last updated
11/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us