Individual
ROSE DORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
Mailing address
17 DAMARIN LN, BRUNSWICK, ME 04011-7746
(908) 380-2917
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
9112181
FL
363AM0700X
Medical Physician Assistant
Primary
PA2459
ME
Other
Enumeration date
05/06/2019
Last updated
07/18/2023
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