Individual
ANNA MARIE SCOPELLITO-OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25A JUNE ST STE 111, SANFORD, ME 04073-2642
(207) 490-7998
Mailing address
96 MIDLAND RD, STATEN ISLAND, NY 10308-2918
(718) 668-6963
(718) 351-2147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
168980
NY
207R00000X
Internal Medicine Physician
Primary
MD21516
ME
208000000X
Pediatrics Physician
168980
NY
208000000X
Pediatrics Physician
MD21516
ME
Other
Enumeration date
11/08/2005
Last updated
04/01/2019
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