Individual
SCOTT D SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
358 BROADWAY, SUITE 306, BANGOR, ME 04401-3929
(207) 907-3660
(207) 907-3661
Mailing address
PO BOX 934, BANGOR, ME 04402-0934
(207) 907-3339
(207) 907-1214
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD17268
ME
208M00000X
Hospitalist Physician
57645
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098569
ANTHEM BLUE SHIELD
ME
01
—
1951774
CIGNA
ME
05
—
432392399
—
ME
01
—
7327731
AETNA
ME
Enumeration date
02/13/2006
Last updated
02/21/2018
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