Individual
SARAH DEERY STASULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
92 CAMPUS DR STE D, SCARBOROUGH, ME 04074-7229
(207) 662-8900
(207) 774-9388
Mailing address
92 CAMPUS DR STE D, SCARBOROUGH, ME 04074-7229
(207) 662-8900
(207) 774-9388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L-251382
MA
208600000X
Surgery Physician
MD24705
ME
2086S0129X
Vascular Surgery Physician
Primary
MD24705
ME
Other
Enumeration date
05/24/2012
Last updated
09/16/2025
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