Organization
INTERMED, PA
Active
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
84 MARGINAL WAY, PORTLAND, ME 04101-2443
(207) 774-5816
(855) 576-4814
Mailing address
100 GANNETT DR, SUITE C, SOUTH PORTLAND, ME 04106-5900
(207) 247-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
01/16/2015
Last updated
05/12/2026
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