Provider Demographics
NPI:1922034727
Name:STANLEY, DONALD E (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:STANLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W NECK RD
Mailing Address - Street 2:
Mailing Address - City:NOBLEBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04555-8631
Mailing Address - Country:US
Mailing Address - Phone:207-563-1560
Mailing Address - Fax:
Practice Address - Street 1:500 W NECK RD
Practice Address - Street 2:
Practice Address - City:NOBLEBORO
Practice Address - State:ME
Practice Address - Zip Code:04555-8631
Practice Address - Country:US
Practice Address - Phone:207-563-1560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1011207ZC0500X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTB57887Medicare UPIN
VT4567Medicare ID - Type Unspecified