Individual
ANASTASIA R NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96 OCEAN ST STE 4, SOUTH PORTLAND, ME 04106-2855
(207) 303-8800
Mailing address
96 OCEAN ST STE 4, SOUTH PORTLAND, ME 04106-2855
(207) 303-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013027609
MO
207Q00000X
Family Medicine Physician
Primary
MD20614
ME
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD20614
ME
Other
Enumeration date
06/04/2010
Last updated
09/30/2022
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