Individual
MARGUERITE ANNE PENNOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 HIGH POINT RD, SCARBOROUGH, ME 04074-9030
(207) 510-0031
Mailing address
14 HIGH POINT RD, SCARBOROUGH, ME 04074-9030
(207) 510-0031
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12311
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E004030
CHAMPUS
ME
01
—
M5650
CIGNA
ME
01
—
P0154
BCBS
ME
Enumeration date
09/02/2005
Last updated
11/10/2020
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