NPI 1487841573 · live from the CMS NPI Registry
William Anderson, D.O.
Family Medicine in Great Diamond Island, ME. National Provider Identifier 1487841573, active.
NPI record
| NPI | 1487841573 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 16f Diamond Cove, Great Diamond Island, ME 04109 |
| Practice phone | 207-766-5008 |
| Mailing address | 16f Diamond St., Portland, ME 04101 |
| Enumerated | October 2, 2007 |
| Last updated | October 2, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 902 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.