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Individual

MATTHEW SCOTT MOLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 930-6708
(207) 930-6709
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 930-6708
(207) 930-6709

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00338
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10503
BCBS
NC
05
8910503
NC
Enumeration date
11/03/2005
Last updated
02/13/2012
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