Individual
DR. CHRISTOPHER THOMAS HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SOUTHBOROUGH DR STE 400-102, S PORTLAND, ME 04106-3249
(207) 464-8288
(207) 274-7848
Mailing address
400 SOUTHBOROUGH DR STE 400-102, S PORTLAND, ME 04106-3249
(207) 464-8288
(207) 274-7848
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD17413
ME
2086S0129X
Vascular Surgery Physician
223918
MA
2086S0129X
Vascular Surgery Physician
MD17413
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432730199
—
ME
01
—
P00435576
RR MEDICARE
ME
Enumeration date
02/20/2007
Last updated
02/06/2024
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