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NPI Code Detail

MEDICARE: PAUL JOSEPH STEBER JR.

MEDICARE: PAUL JOSEPH STEBER JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPR46648ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PR46648OTHERMEBOARD OF PHARMACY

General Provider Information

NPI Number : 1225633357
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL JOSEPH STEBER JR.
Provider Business Mailing Address
First Line : 65 GRAY RD
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-2057
Country : US
Telephone Number : 207-878-0017
Fax Number :
Provider Business Practice Location Address
First Line : 65 GRAY RD
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-2057
Country : US
Telephone Number : 207-878-0017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2020
Last Update Date : 10/01/2022

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