Mark D Cousineau MD

NPI 1477634335 - Emergency Medicine - 207P00000X

NPI Details
NPI 1477634335
Gender Male
Enumeration Date 10/18/2006
Last Updated 07/03/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
22 BRAMHALL ST
PORTLAND ME, 04102-3134, US
Phone (207) 662-7050
Fax (207) 662-7054
Business Location
22 BRAMHALL ST
PORTLAND ME, 04102-3134, US
Phone (207) 662-7050
Fax (207) 662-7054
Toxanomy
Taxonomy Code 207P00000X
License State Maine
License Number EC-05-081
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According to our database, Dr. Mark D Cousineau MD NPI is 1477634335, taxonomy code is 207P00000X and license number is EC-05-081, license state is located at Maine. Mark D Cousineau MD physically located at 22 Bramhall St, Portland ME, 04102-3134. NPI Number Mark D Cousineau MD has the Individual type.

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1477634335 NPI number is provided on an as is basis without warranty of any kind. 1477634335 is maintained by the National Plan & Provider Enumeration System. The contents of Mark D Cousineau MD are for informational purposes only.