Dr. Brian J Keroack, MD - Portland, ME

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.

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

NPI Number

1891788659

Provider Name

Brian J Keroack

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
0673610001	01	ME	DMERC
269530099	05	ME
660000685	01	ME	PALMETTO RAILROAD MEDICARE

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.

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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