Basic Information
Provider Information
NPI: 1831152743
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUTONE
FirstName: STEVEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 MEDICAL CENTER DR
Address2: P.O. BOX 626
City: BIDDEFORD
State: ME
PostalCode: 040059422
CountryCode: US
TelephoneNumber: 2072829080
FaxNumber: 2072829180
Practice Location
Address1: 30 W COLE RD
Address2:  
City: BIDDEFORD
State: ME
PostalCode: 040059458
CountryCode: US
TelephoneNumber: 2072823349
FaxNumber: 2072826099
Other Information
ProviderEnumerationDate: 04/11/2006
LastUpdateDate: 09/13/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X1803MEY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
600023501MEHARVARD PILGRIMOTHER
04637801MEANTHEMOTHER
322497201MEAETNAOTHER
28238009905ME MEDICAID
CIGNA01ME6801447OTHER


Home