Individual
EDWARD TUMAVICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016829
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30207091
—
NH
05
—
431938799
—
ME
Enumeration date
06/24/2006
Last updated
07/27/2015
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