Individual provider · Type 1 NPI

Brian J. Keroack, MD

Specialist · Portland, ME

NPI number 1891788659 Active

Practice location

51 Sewall St
Portland, ME 04102-2643

Call (207) 774-5761 Map

Fax (207) 874-7478

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X013245 (ME)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891788659

Brian J. Keroack, MD's National Provider Identifier is 1891788659, issued on Aug 26, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, ME. The record was last updated on Oct 9, 2008.