Provider Demographics
NPI:1366523235
Name:STEARNS, CYNTHIA B (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:B
Last Name:STEARNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:S
Other - Last Name:LYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3 IRONCLAD RD
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-1902
Mailing Address - Country:US
Mailing Address - Phone:207-712-0677
Mailing Address - Fax:
Practice Address - Street 1:3 IRONCLAD RD
Practice Address - Street 2:
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-1902
Practice Address - Country:US
Practice Address - Phone:207-712-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD172952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMD17295OtherMAINE MEDICAL LISCENSE