Laureen A Biczak DO

NPI 1073579074 - Internal Medicine - 207RI0200X

NPI Details
NPI 1073579074
Gender Female
Enumeration Date 04/26/2006
Last Updated 10/14/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
84 MARGINAL WAY
SUITE 800
PORTLAND ME, 04101-2443, US
Phone (207) 774-5816
Fax (207) 523-8595
Business Location
100 FODEN ROAD, WEST
SUITE 203
SOUTH PORTLAND ME, 04106, US
Phone (207) 828-0361
Fax (207) 874-1483
Toxanomy
Taxonomy Code 207RI0200X
License State Maine
License Number 1167
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According to our database, Laureen A Biczak DO NPI is 1073579074, taxonomy code is 207RI0200X and license number is 1167, license state is located at Maine. Laureen A Biczak DO physically located at 84 Marginal Way, Portland ME, 04101-2443. NPI Number Laureen A Biczak DO has the Individual type.

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1073579074 NPI number is provided on an as is basis without warranty of any kind. 1073579074 is maintained by the National Plan & Provider Enumeration System. The contents of Laureen A Biczak DO are for informational purposes only.