Organization
CHEST MEDICINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GRANT (BUSINESS MANAGER)
(207) 828-1122
Entity
Organization
Contact information
Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122460100
—
ME
Enumeration date
07/27/2017
Last updated
07/21/2022
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