Active NPIIndividual providerSole proprietor

Jean M Antonucci, MD

Family Medicine in Farmington, Maine

NPI Number1356347900
Practice location
115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239
Fax
207-778-3544
Last updated
November 15, 2011

Jean Marie Antonucci is a Family Medicine based in Farmington, ME. Jean Marie Antonucci practices in Farmington, ME and has the professional credentials of MD. The NPI Number for Jean Marie Antonucci is 1356347900 and holds a License No. 12782 (ME). The current practice location address for Jean Marie Antonucci is 115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239 and can be reached out via phone at 207-778-3313 and via fax at 207-778-3544.

Provider Profile Details

NPI Number
1356347900
Provider Name
Jean Marie Antonucci
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239
Phone Number
207-778-3313
Fax Number
207-778-3544
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 27, 2005
Last Update Date
November 15, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mt Blue Cir
Ste 2
Farmington, ME 04938-6239
State
Maine
Zip
04938-6239
Phone Number
207-778-3313
Fax Number
207-778-3544
Farmington, ME 04938Get directions →

Provider Business Mailing Address Details

Address
115 Mt Blue Cir
Ste 2
Farmington, ME 04938-6239
City
Farmington
State
ME
Zip
04938-6239
Phone Number
207-778-3313
Fax Number
207-778-3544

License Information

License Number
12782
License State
ME
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jean M Antonucci, MD?

The NPI number of Jean M Antonucci, MD is 1356347900. It was assigned on June 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Jean M Antonucci, MD?

Jean M Antonucci, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number 12782.

Where does Jean M Antonucci, MD practice?

The practice location is 115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239. The office can be reached at 207-778-3313 (phone) or 207-778-3544 (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 1356347900 directly on the NPPES registry website.

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