Individual provider · Type 1 NPI

Samuel Matthias Pettit, DO

Geriatric Medicine (Internal Medicine) Physician · Portland, ME

NPI number 1003556291 Active

Practice location

66 Bramhall St
Portland, ME 04102-3344

Fax (207) 662-6434

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XDO4340 (ME)
Internal Medicine Physician 207R00000XDO4340 (ME)

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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About NPI 1003556291

Samuel Matthias Pettit, DO's National Provider Identifier is 1003556291, issued on Mar 29, 2022. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Portland, ME. The record was last updated on Aug 18, 2026.