NPI 1023405479 · live from the CMS NPI Registry
Jessica Ana Kvasic, M.D
Internal Medicine, Cardiovascular Disease in Lewiston, ME. National Provider Identifier 1023405479, active.
NPI record
| NPI | 1023405479 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 99 Campus Ave Ste 301, Lewiston, ME 04240 |
| Practice phone | 077-775-3002 |
| Enumerated | April 23, 2015 |
| Last updated | June 10, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 21455 (NH) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD24474 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.