SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION PLLC NPI 1487691879

NPI Information

NPI: 1487691879
Provider Name: SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
335 BRIGHTON AVE
PORTLAND, ME
ZIP 04102
Phone: (207) 775-4000
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SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC is a neuromusculoskeletal medicine sports medicine in Portland, ME. The provider is definition to come. SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC NPI is 1487691879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

335 BRIGHTON AVE
PORTLAND, ME
ZIP 04102-362
Phone: (207) 775-4000

The provider's authorized official is Elwood I Fox .
The authorized official title is President/physician and has the following contact phone number (207) 893-2992.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 7/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		1709	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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