Individual
MARIE ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
735 WILSON ST, BREWER, ME 04412-1000
(207) 285-3312
(207) 285-7320
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1221
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010474554
MEDNET
ME
01
—
017711
ANTHEM BC BS
ME
01
—
1044320
AETNA
AL
05
—
259640099
—
ME
01
—
B86288
HARVARD PILGRIM
ME
01
—
M3260
CIGNA
ME
Enumeration date
08/10/2006
Last updated
04/02/2012
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