Individual
GRACE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(617) 480-8190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD21678
ME
208M00000X
Hospitalist Physician
Primary
MD21678
ME
Other
Enumeration date
06/19/2014
Last updated
10/25/2023
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