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Individual

STEPHEN WILFRED RODRIGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15049
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010507276
TAX ID
ME
01
043319
ANTHEM
ME
01
1120990001
DMERC
ME
01
200042914
RAILROAD MEDICARE
ME
05
260140099
ME
01
2745463
AETNA HMO
ME
01
30202036
NH MEDICAID
ME
01
5909591
AETNA NON HMO
ME
01
G64755
HARVARD PILGRIM HEALTHSOU
ME
01
M153272
CIGNA HEALTHSOURCE
ME
Enumeration date
05/23/2006
Last updated
07/21/2015
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