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NPI Profile for MAINE MEDICAL PARTNERS in PORTLAND, ME.
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1790976074 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/05/2007 | |
| Last updated | 12/13/2022 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAINE MEDICAL PARTNERS
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MAINE MEDICAL PARTNERS