NPI 1962962324 · live from the CMS NPI Registry
Justine Marie Achille, MD
Family Medicine in Gorham, ME. National Provider Identifier 1962962324, active.
NPI record
| NPI | 1962962324 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 575 Main St, Gorham, ME 04038 |
| Practice phone | 207-839-2559 |
| Mailing address | Po Box 9746, Portland, ME 04104 |
| Enumerated | March 21, 2019 |
| Last updated | September 28, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | MD26128 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.