Provider Demographics
NPI:1730276908
Name:DOCZY-BORDI, STEVE (PA)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:DOCZY-BORDI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HAROLD HOWELL WAY
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-3733
Mailing Address - Country:US
Mailing Address - Phone:207-512-2220
Mailing Address - Fax:
Practice Address - Street 1:150 MAIN ROAD
Practice Address - Street 2:
Practice Address - City:ISLESBORO
Practice Address - State:ME
Practice Address - Zip Code:04848-0137
Practice Address - Country:US
Practice Address - Phone:207-734-2213
Practice Address - Fax:207-734-8392
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA-481363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical