institution
Intermed Pa
Ambulatory Surgical Clinic/Center in Portland, Maine
NPI 1942388418

Intermed Pa is an Ambulatory Surgical Clinic/Center based in South Portland, ME and is specialized in Ambulatory Surgical. Intermed Pa practices in Portland, ME. The NPI Number for Intermed Pa is 1942388418 and holds a License No. 38444 (Maine).

The current practice location address for Intermed Pa is 84 Marginal Way, Portland, ME and can be reached out via phone at 207-347-2898 and via fax at 207-553-1415.

Location: 84 Marginal Way, Portland, ME, 04106-5900
institution
Provider Profile Details
NPI Number
1942388418
Provider Name
Intermed Pa
Credential
Provider Entity Type
Organization
Address
84 Marginal Way, Portland, ME, 04106-5900
Phone Number
207-347-2898
Fax Number
207-553-1415
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CC4863 01 ME RR MEDICARE
126390100 05 ME
institution
Provider Business Practice Location Address Details
Address
84 Marginal Way
City
State
Zip
04101-2443
Phone Number
207-347-2898
Fax Number
207-553-1415
person
Provider Business Mailing Address Details
Address
84 Marginal Way
City
State
Zip
04101-2443
Phone Number
207-347-2898
Fax Number
207-553-1415
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
38444 (Maine)
Definition
Definition to come...
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