MELISSA PARK MD INTERNAL MEDICINE NPI 1114935855

NPI Information

  • NPI: 1114935855
  • Provider Name: MELISSA PARK, MD INTERNAL MEDICINE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 4 GLEN COVE DR
    SUITE 101
    ROCKPORT, ME
    ZIP 04856
  • Phone: (207) 594-2609

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NPI Details

MELISSA PARK, MD INTERNAL MEDICINE is a specialist in Rockport, ME. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MELISSA PARK, MD INTERNAL MEDICINE NPI is 1114935855. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 GLEN COVE DR
SUITE 101
ROCKPORT, ME
ZIP 04856-235
Phone: (207) 594-2609
Fax: (207) 594-4358

The provider's authorized official is Shelly Rae Gresham .
The authorized official title is Office Manager and has the following contact phone number (207) 594-2609.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/22/2020.

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
1174400000XSpecialist015943MAINEYes

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: 3/30/2025

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