Individual
ALICIA M MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15 ANCHOR DR STE 201, ROCKPORT, ME 04856-3848
(207) 301-5900
(207) 301-5358
Mailing address
16 CONCOURSE W, WATERVILLE, ME 04901-6007
(207) 861-1036
(207) 861-1039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2440
ME
Other
Enumeration date
06/29/2011
Last updated
12/04/2023
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