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NPI 1922045145 · live from the CMS NPI Registry

Maine Centers For Healthcare PA

Family Medicine in Westbrook, ME. National Provider Identifier 1922045145, active.

NPI record

NPI1922045145 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location2 Chabot St, Westbrook, ME 04092
Practice phone207-857-9311
EnumeratedMay 31, 2006
Last updatedSeptember 9, 2013
Authorized officialOwen Pickus, Medical Director

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Hematology & Oncology207RH0003X—
Internal Medicine, Cardiovascular Disease207RC0000X—
Internal Medicine207R00000X—
Nurse Practitioner, Family363LF0000X—
Psychiatry & Neurology, Neurology2084N0400X—
Internal Medicine, Gastroenterology207RG0100X—
Surgery208600000X—
Family Medicine primary207Q00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.