Individual
DR. TRUSTIN ROY ENNACHERIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98 ROUTE 236 STE 2, KITTERY, ME 03904-5527
(207) 438-8124
(207) 703-2780
Mailing address
98 ROUTE 236 STE 2, KITTERY, ME 03904-5527
(207) 438-8124
(207) 703-2780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19720
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
19720
ME
207RP1001X
Pulmonary Disease Physician
19720
ME
207RS0012X
Sleep Medicine (Internal Medicine) Physician
19720
ME
Other
Enumeration date
04/13/2006
Last updated
11/02/2020
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