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Mr. Jeffery B Fox, PA
Surgical Physician Assistant in Portland, Maine
NPI 1396707873

Jeffery B Fox is a Surgical Physician Assistant based in Winchester, ME and is specialized in Surgical. Jeffery B Fox practices in Portland, ME and has the professional credentials of PA. The NPI Number for Jeffery B Fox is 1396707873 and holds a License No. 1338-023 (Maine).

The current practice location address for Jeffery B Fox is 818 Congress St, Portland, ME and can be reached out via phone at 207-773-8161.

Location: 818 Congress St, Portland, ME, 22601-2896
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Provider Profile Details
NPI Number
1396707873
Provider Name
Jeffery B Fox
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
818 Congress St, Portland, ME, 22601-2896
Phone Number
207-773-8161
Fax Number
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P52980059 01 MI MEDICARE
41925000 05 WI
institution
Provider Business Practice Location Address Details
Address
818 Congress St
City
State
Zip
04102-3112
Phone Number
207-773-8161
Fax Number
person
Provider Business Mailing Address Details
Address
818 Congress St
City
State
Zip
04102-3112
Phone Number
207-773-8161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1338-023 (Wisconsin)
Definition
Definition to come...
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