Individual
MR. SAMUEL E UMBRIACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
96 CAMPUS DR, SCARBOROUGH, ME 04074
(207) 563-4250
(207) 563-4561
Mailing address
P.O. BOX 16022, LEWISTON, ME 04243
(207) 563-4250
(207) 563-4561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 0015058
ME
363A00000X
Physician Assistant
Primary
PA1058
ME
Other
Enumeration date
03/27/2007
Last updated
12/23/2014
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