Healthcare Provider Details

I. General information

NPI: 1962557728
Provider Name (Legal Business Name): CALIN STOICOV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 MEDICAL CENTER DR SUITE 3400
BRUNSWICK ME
04011-2653
US

IV. Provider business mailing address

121 MEDICAL CENTER DR SUITE 3400
BRUNSWICK ME
04011-2653
US

V. Phone/Fax

Practice location:
  • Phone: 207-406-7300
  • Fax: 207-406-7301
Mailing address:
  • Phone: 207-406-7300
  • Fax: 207-406-7301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD19659
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: