Dr. Charles D Radis, DO - Portland, ME

Dr. Charles D Radis, DO

Specialist in Portland, Maine

NPI 1235122094

Charles D Radis is a Specialist based in Portland, ME. Charles D Radis practices in Portland, ME and has the professional credentials of DO. The NPI Number for Charles D Radis is 1235122094 and holds a License No. 1041 (Maine).

The current practice location address for Charles D Radis is 51 Sewall St, Portland, ME and can be reached out via phone at 207-774-5761 and via fax at 207-874-7478.

Location: 51 Sewall St, Portland, ME, 04102-2643

NPI Number

1235122094

Provider Name

Charles D Radis

Credential

Provider Entity Type

Individual

Gender

Male

Address

51 Sewall St, Portland, ME, 04102-2643

Phone Number

207-774-5761

Fax Number

207-874-7478

Provider Enumeration Date

08/26/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
110116560	01	ME	PALMETTOG RAILROAD MEDICARE
0673610001	01	ME	DMERC
115940199	05	ME

Address

51 Sewall St

City

Portland

State

Maine

Zip

04102-2643

Phone Number

207-774-5761

Fax Number

207-874-7478

Address

51 Sewall St

City

Portland

State

Maine

Zip

04102-2643

Phone Number

207-774-5761

Fax Number

207-874-7478

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

1041 (Maine)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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