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Dr. Brian J Keroack, MD
Specialist in Portland, Maine
NPI 1891788659

Brian J Keroack is a Specialist based in Portland, ME. Brian J Keroack practices in Portland, ME and has the professional credentials of MD. The NPI Number for Brian J Keroack is 1891788659 and holds a License No. 013245 (Maine).

The current practice location address for Brian J Keroack is 51 Sewall St, Portland, ME and can be reached out via phone at 207-774-5761 and via fax at 207-874-7478. You can also correspond with Brian J Keroack through the mailing address at 51 SEWALL ST, PORTLAND, ME - 04102-2643 (mailing address contact number: 207-774-5761).

Location: 51 Sewall St, Portland, ME, 04102-2643
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Provider Profile Details
NPI Number
1891788659
Provider Name
Brian J Keroack
Credential
MD
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
0673610001 01 ME DMERC
269530099 05 ME
660000685 01 ME PALMETTO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
51 Sewall St
City
State
Zip
04102-2643
Phone Number
207-774-5761
Fax Number
207-874-7478
person
Provider Business Mailing Address Details
Address
51 Sewall St
City
State
Zip
04102-2643
Phone Number
207-774-5761
Fax Number
207-874-7478
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
013245 (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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