Organization
INTERMED, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER A. POITRAS (CHIEF EXECUTIVE OFFICER)
(207) 347-2853
Entity
Organization
Contact information
Practice address
50 FODEN RD, SOUTH PORTLAND, ME 04106-1718
(207) 347-2947
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
05/12/2026
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