Individual
DONNA M STAWASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 MAIN ST, SACO VA CLINIC, SACO, ME 04072-1543
(207) 623-8411
(207) 286-3709
Mailing address
655 MAIN ST, SACO VA CLINIC, SACO, ME 04072-1543
(207) 623-8411
(207) 286-3709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017029
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103961YPMA02
ANTHEM NEW HAMPSHIRE
—
01
—
100312
ANTHEM MAINE
—
01
—
1217615
AETNA (HMO)
—
01
—
5456642
AETNA (PPO)
—
01
—
A28890
HARVARD PILGRIM HEALTHCAR
—
01
—
CIGNA
6985496
—
Enumeration date
08/24/2006
Last updated
01/28/2013
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