Individual
JEFFREY A STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
295C KENNEDY MEMORIAL DR STE 1, WATERVILLE, ME 04901-4535
(207) 873-5437
(207) 872-6037
Mailing address
295C KENNEDY MEMORIAL DR STE 1, WATERVILLE, ME 04901-4535
(207) 873-5437
(207) 872-6037
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1317
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124310099
—
ME
Enumeration date
06/09/2005
Last updated
03/25/2021
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