Organization
MAURICE C. HOTHEM, DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MC HOTHEM DO (OWNER AND PROVIDER)
(207) 797-4148
Entity
Organization
Contact information
Practice address
222 AUBURN ST, PORTLAND, ME 04103-6004
(207) 797-4148
(207) 797-5730
Mailing address
222 AUBURN ST, PORTLAND, ME 04103-6004
(207) 797-4148
(207) 797-5730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115730000
—
ME
01
—
M9150
CIGNA
ME
Enumeration date
12/08/2006
Last updated
06/25/2008
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