Individual
NICHOLAS PIOTROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(844) 292-0111
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(844) 292-0111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01076789A
IN
2084P0800X
Psychiatry Physician
Primary
MD23611
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001050527
ANTHEM PROVIDER NUMBER
IN
05
—
201367690
—
IN
Enumeration date
06/17/2010
Last updated
04/07/2020
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