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Individual

DR. DOROTHY H KURTZ PHELAN

Active
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Individual

DR. DOROTHY H KURTZ PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2374
MA
213E00000X
Podiatrist
POD1030
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03Y002802ME02
ANTHEM NH
NH
01
—
060678
ANTHEM
ME
01
—
1841270642
GROUP NPI#
ME
01
—
1851499768
INDIVIDUAL NPI #
ME
01
—
200148199
TAX ID #
ME
01
—
22010099
MAINECARE IND#
ME
Enumeration date
09/21/2006
Last updated
04/19/2023
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