Individual
DR. GREGORY C POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 AUBURN ST, PORTLAND, ME 04103-6003
(207) 797-4791
(207) 317-5390
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD14031
ME
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD14031
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018062
ANTHEM
ME
05
—
130350099
—
ME
05
—
1447226584-002
—
ME
01
—
200025975
RAILROAD MEDICARE
ME
01
—
5720029
AETNA
ME
Enumeration date
06/01/2005
Last updated
07/17/2020
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