Individual
DR. STEPHEN M JENDZEJEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
127 LONG SANDS RD, SUITE 11, YORK, ME 03909-1158
(207) 363-8430
(207) 351-3006
Mailing address
127 LONG SANDS RD, SUITE 11, YORK, ME 03909-1158
(207) 363-8430
(207) 351-3006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1287
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003689
ANTHEM BLUE CROSS BLUE SH
—
01
—
010467585
AETNA HMO
—
01
—
010467585001
ANTHEM BLUE CROSS BLUE SH
—
01
—
0405236YPME01
ANTHEM BCBS NEW HAMPSHIRE
—
01
—
080140515
RAILROAD MEDICARE
—
01
—
283840099
PRIMECARE MEDICAID
—
05
—
283840099
—
ME
01
—
3646359
CIGNA HEALTHCARE
—
01
—
596163
AETNA NONHMO GROUP
—
01
—
E10019
HARVARD PILGRIM
—
01
—
MM2427
MEDICARE B
—
01
—
YORK083565
ANTHEM BCBS NEW HAMPSHIRE
—
Enumeration date
04/07/2006
Last updated
04/12/2011
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