Individual
MR. RICHARD S TOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25A JUNE ST, SANFORD, ME 04073-2642
(207) 324-8311
(207) 324-7899
Mailing address
PO BOX 233, SANFORD, ME 04073-0233
(207) 490-7728
(207) 490-7069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009388
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025354
ANTHEM
ME
01
—
2071103
AETNA
ME
05
—
321290199
—
ME
01
—
610109201
CIGNA
ME
01
—
B86997
HARVARD PILGRIM
ME
Enumeration date
04/27/2006
Last updated
07/08/2007
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