Individual
CAROLYN PLOURDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
193 MAIN ST, SUITE 9, NORWAY, ME 04268-5645
(207) 743-7605
(207) 743-1579
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD16529
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30204424
—
NH
05
—
412990099
—
ME
Enumeration date
03/27/2007
Last updated
02/12/2021
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