Individual
DR. STEPHEN B PAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 ROOSEVELT TRL, WINDHAM, ME 04062-4821
(207) 893-0290
Mailing address
21 QUIET LN, PORTLAND, ME 04103-2269
(207) 878-3288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006371
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010453642
MEDNET
ME
01
—
027361
ANTHEM
ME
01
—
080131508
RR MEDICARE
ME
01
—
1609813443
TRICARE
ME
05
—
272330099
—
ME
01
—
5940002
AETNA
ME
01
—
610016401
CIGNA
ME
01
—
B86925
HARVARD PILGRIM HEALTHCAR
ME
Enumeration date
06/01/2006
Last updated
02/22/2013
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