Organization · Type 2 NPI

Intermed, PA

Family Medicine Physician · South Portland, ME

NPI number 1609755701 Active

Practice location

100 Foden Rd, East, Suite 203
South Portland, ME 04106-1715

Call (207) 874-1489 Map

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Psychiatry Physician 2084P0800XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14 other providers at this address

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About NPI 1609755701

Intermed, PA's National Provider Identifier is 1609755701, issued on Sep 2, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Portland, ME. The record was last updated on May 12, 2026.