Individual
STEPHEN G MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Mailing address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
210360
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
210360
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02520670
—
NY
Enumeration date
06/06/2006
Last updated
01/23/2014
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