| Casco Bay Direct Primary Care | |
|
100 Brickhill Ave South Portland ME 04106-1999 | |
| (207) 407-5027 | |
| Not Available |
| Full Name | Casco Bay Direct Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Brickhill Ave, South Portland, Maine |
| Authorized Official Name and Position | Jennifer Beall (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2074075027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casco Bay Direct Primary Care 80 Old Field Rd Yarmouth ME 04096-7570 Ph: (207) 776-0816 | Casco Bay Direct Primary Care 100 Brickhill Ave South Portland ME 04106-1999 Ph: (207) 407-5027 |
| NPI Number | 1679251946 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679251946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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