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Individual

DR. STEPHEN F OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75B JOHN ROBERTS ROAD, SO PORTLAND, ME 04106
(207) 775-4151
(207) 775-6950
Mailing address
301 US ROUTE 1, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
008936
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242790099
ME
Enumeration date
07/06/2006
Last updated
01/06/2011
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