Michael A Dedekian MD

NPI 1093781254 - Pediatrics - 208000000X

NPI Details
NPI 1093781254
Gender Male
Enumeration Date 02/27/2006
Last Updated 01/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
887 CONGRESS ST
SUITE 320
PORTLAND ME, 04102, US
Phone (207) 662-5522
Fax (207) 662-5527
Business Location
301 US ROUTE 1
BUILDING C
SCARBOROUGH ME, 04074-7609, US
Phone (207) 396-8600
Fax (207) 396-8632
Toxanomy
Taxonomy Code 208000000X
License State Massachusetts
License Number 224852
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According to our database, Dr. Michael A Dedekian MD NPI is 1093781254, taxonomy code is 208000000X and license number is 224852, license state is located at Massachusetts. Michael A Dedekian MD physically located at 887 Congress St, Portland ME, 04102. NPI Number Michael A Dedekian MD has the Individual type.

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1093781254 NPI number is provided on an as is basis without warranty of any kind. 1093781254 is maintained by the National Plan & Provider Enumeration System. The contents of Michael A Dedekian MD are for informational purposes only.