NPI 1356347900 · live from the CMS NPI Registry
Jean Marie Antonucci, md
Family Medicine in Farmington, ME. National Provider Identifier 1356347900, active.
NPI record
| NPI | 1356347900 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 115 Mt Blue Cir, Ste 2, Farmington, ME 04938 |
| Practice phone | 207-778-3313 |
| Enumerated | June 27, 2005 |
| Last updated | November 15, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 12782 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.