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Contact Information

MARK J NEAVYN, MD
22 BRAMHALL ST
PORTLAND, ME04102-3134
 Phone: 207-662-2381
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARK J NEAVYN · (Male)

NPI Number 1578719704
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2008
Last updated 10/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 052572
  • MA License # 250461
  • ME License # MD23807
  • MA Medicaid 110092404A
Hospital affiliation(s)
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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