Individual
MS. THERESE K WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
244 WESTERN AVENUE, SOUTH PORTLAND, ME 04106-2496
(207) 775-3446
(207) 879-1646
Mailing address
244 WESTERN AVENUE, SOUTH PORTLAND, ME 04106-2496
(207) 775-3446
(207) 879-1646
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
013129
ME
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
013129
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254460099
—
ME
Enumeration date
08/29/2006
Last updated
09/11/2025
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