NPI 1760859409 · live from the CMS NPI Registry
A J Candelore DO PLLC
Family Medicine in Scarborough, ME. National Provider Identifier 1760859409, active.
NPI record
| NPI | 1760859409 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 617 Us Route 1, Scarborough, ME 04074 |
| Practice phone | 207-883-5149 |
| Enumerated | August 28, 2015 |
| Last updated | August 28, 2015 |
| Authorized official | Andrew Candelore, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 880 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.