Doctor Name: | DR. BRITTANY JUSTINE STILLMAN |
NPI Number: | 1447557830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | POD1091 |
Business Practice Address: | 25 Hospital Dr Bridgton, ME - 040091167 |
Business Phone Number: | 2076476064 |
Business Fax Number: | 2076476013 |
Mailing Address: | 25 Hospital Dr, BRIDGTON |
State: | ME |
Postal Code: | 040091167 |
Phone Number: | 2076476064 |
Fax Number: | 2076476013 |
NPI Enumeration Date: | 02/21/2011 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | POD1091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |