| Casco Bay Medical Pllc | |
|
371 Fore St 201 Portland ME 04101-5112 | |
| (207) 772-3221 | |
| (207) 221-1152 |
| Full Name | Casco Bay Medical Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 371 Fore St, Portland, Maine |
| Authorized Official Name and Position | Jeremy Ashley Spiegel (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2077723221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casco Bay Medical Pllc 371 Fore St 201 Portland ME 04101-5112 Ph: (207) 772-3221 | Casco Bay Medical Pllc 371 Fore St 201 Portland ME 04101-5112 Ph: (207) 772-3221 |
| NPI Number | 1669739389 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669739389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 015026 (Maine) | Primary |
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