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Contact Information

FERNANDO MORENO JR, MD
22 BRAMHALL ST
PORTLAND, ME04102-3134
 Phone: 207-662-3500
 Fax: 207-662-3070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FERNANDO MORENO JR · (Male)

NPI # 1154636280
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2010
Last updated 04/28/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD21299
  • ME Medicaid 1154636280
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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