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MARTINS POINT HEALTHCARE

Physicians Family Medicine Sports Medicine

Provider NPI: 1366474611

Organization Information:
Organization Name:  MARTINS POINT HEALTHCARE
Organization is not Subpart
Authorized Official:  JONATHAN  HARVEY  CHEIF MEDICAL OFFICIER  207-699-4755

Practice Location:
331 VERANDA ST  PORTLAND, ME 04104 US
Tel: 207-791-3888  Fax: 207-828-7850

Business Mailing Address:
PO BOX 9746  PORTLAND, ME 04104 US
Tel: 207-791-3888  Fax: 207-828-7850

NPI Information:
NPI: 1366474611
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QS0010XPhysicians
Family Medicine
Sports Medicine
N207R00000XPhysicians
Internal Medicine
N204D00000XPhysicians
Neuromusculoskeletal Medicine & OMM
N364SA2200XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
N208000000XPhysicians
Pediatrics
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
Y207Q00000XPhysicians
Family Medicine
N207QG0300XPhysicians
Family Medicine
N207RC0000XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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