Individual
JILL CHARLOTTE DIMARTINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
112 SANFORD RD, WELLS, ME 04090-5533
(207) 646-5211
(207) 641-8151
Mailing address
51 US ROUTE 1 STE A, SCARBOROUGH, ME 04074-7145
(207) 396-1440
(207) 289-3104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17055
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225057565
ANTHEM
ME
01
—
6223338
CIGNA
ME
01
—
7996841
AETNA
ME
01
—
AA70718
HARVARD
ME
Enumeration date
07/18/2006
Last updated
10/21/2021
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