Individual
PAULO R.M. ANTUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 WEST BROADWAY, LINCOLN, ME 04457-0000
(207) 794-6700
(207) 794-6777
Mailing address
PO BOX 99, LINCOLN, ME 04457-0099
(207) 794-6700
(207) 794-6777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017549
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000290101
PTAN
ME
01
—
200158
ANTHEM
ME
01
—
201836
NGS
ME
Enumeration date
03/22/2007
Last updated
07/02/2009
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