Individual
DR. STEPHEN MATURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 FOREST AVE STE 301, PORTLAND, ME 04103-1884
(207) 797-5753
(207) 797-9571
Mailing address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER/ MCHE-QD/CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2504
(210) 916-1247
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01056203A
IN
207Y00000X
Otolaryngology Physician
Primary
MD22447
ME
207YP0228X
Pediatric Otolaryngology Physician
P0440
TX
Other
Enumeration date
12/27/2005
Last updated
05/24/2019
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