# PORTLAND ORTHOPAEDIC FOOT AND ANKLE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700881638
- **Authorized official:** DR. GREGORY C POMEROY JR. M.D. (ORTHOPAEDIC SURGEON)
- **Authorized official phone:** (207) 774-3338

## Contact information

- **Practice address:** 254 WESTERN AVE, SOUTH PORTLAND, ME 04106-2410
- **Practice address phone:** (207) 774-3338
- **Practice address fax:** (207) 775-2307
- **Mailing address:** 254 WESTERN AVE, SOUTH PORTLAND, ME 04106
- **Mailing address phone:** (207) 774-3338
- **Mailing address fax:** (207) 775-2307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | Yes |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 08/22/2020