MEDICARE: DR. PAUL F. STEWART JR. M.D.

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
1	174400000X	Specialist	015455	ME

General Provider Information

NPI Number	:	1821081852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL F. STEWART JR. M.D.

Provider Business Mailing Address
First Line	:	16 FAHEY ST
Second Line	:	SUITE 205 COBB MED BLDG
City	:	BELFAST
State	:	ME
Zip	:	04915-6029
Country	:	US
Telephone Number	:	207-338-1911
Fax Number	:	207-338-1221

Provider Business Practice Location Address
First Line	:	16 FAHEY ST
Second Line	:	SUITE 205 COBB MED BLDG
City	:	BELFAST
State	:	ME
Zip	:	04915-6029
Country	:	US
Telephone Number	:	207-338-1911
Fax Number	:	207-338-1221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	07/08/2007

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