- Practice location
- 1230 Maine St, Poland, ME 04274-7325
- Phone
- 207-998-4483
- Fax
- 207-998-2189
- Last updated
- September 1, 2020
Basem Mohamed Elbrolosy is a Family Medicine based in Poland, ME. Basem Mohamed Elbrolosy practices in Poland, ME and has the professional credentials of MD. The NPI Number for Basem Mohamed Elbrolosy is 1326211582 and holds a License No. MD24059 (ME). The current practice location address for Basem Mohamed Elbrolosy is 1230 Maine St, Poland, ME 04274-7325 and can be reached out via phone at 207-998-4483 and via fax at 207-998-2189.
Provider Profile Details
- NPI Number
- 1326211582
- Provider Name
- Basem Mohamed Elbrolosy
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1230 Maine St, Poland, ME 04274-7325
- Phone Number
- 207-998-4483
- Fax Number
- 207-998-2189
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 9, 2008
- Last Update Date
- September 1, 2020
- Certification Date
- August 31, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1230 Maine St
Poland, ME 04274-7325 - City
- Poland
- State
- Maine
- Zip
- 04274-7325
- Phone Number
- 207-998-4483
- Fax Number
- 207-998-2189
Provider Business Mailing Address Details
- Address
- C/O St Marys Health System - Provider Enrollment
Po Box 7291
Lewiston, ME 04240-7291 - City
- Lewiston
- State
- ME
- Zip
- 04240-7291
- Phone Number
- 207-777-8950
- Fax Number
- 207-777-8800
License Information
- License Number
- MD24059
- License State
- ME
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Poland, ME
View all Family Medicine providers in Poland →Frequently Asked Questions
What is the NPI number of Basem M Elbrolosy, MD?
The NPI number of Basem M Elbrolosy, MD is 1326211582. It was assigned on April 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Basem M Elbrolosy, MD?
Basem M Elbrolosy, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number MD24059.
Where does Basem M Elbrolosy, MD practice?
The practice location is 1230 Maine St, Poland, ME 04274-7325. The office can be reached at 207-998-4483 (phone) or 207-998-2189 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326211582 directly on the NPPES registry website.