Individual
AMY BELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 HIGH ST, SUITE 200, LEWISTON, ME 04240-7634
(207) 795-0111
Mailing address
364 MAIN ST, LEWISTON, ME 04240-7029
(207) 795-5709
(207) 795-7193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015686
ME
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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