Healthcare Provider Details

I. General information

NPI: 1366793721
Provider Name (Legal Business Name): STEVEN JAMES HOBSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 HIGH ST
LEWISTON ME
04240-7616
US

IV. Provider business mailing address

143 FLYING POINT RD
FREEPORT ME
04032-6502
US

V. Phone/Fax

Practice location:
  • Phone: 207-795-3904
  • Fax:
Mailing address:
  • Phone: 617-429-1988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD22395
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: