Individual provider · Type 1 NPI

Jeffery B. Fox, P.A.

Surgical Physician Assistant · Portland, ME

NPI number 1396707873 Active

Practice location

818 Congress St
Portland, ME 04102-3112

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X1338-023 (WI)
Surgical Physician Assistant 363AS0400X5601006358 (MI)
Surgical Physician Assistant Primary 363AS0400XPA2288 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1396707873

Jeffery B. Fox, P.A.'s National Provider Identifier is 1396707873, issued on Apr 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Apr 4, 2022.