Individual
RITA FOUAD TEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
229 MAIN ST, SUITE 1, MACHIAS, ME 04654
(207) 255-6831
(207) 255-6832
Mailing address
PO BOX 317, MACHIAS, ME 04654-0317
(207) 255-6831
(207) 255-6832
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
016317
ME
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
016317
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035297
ANTHEM OF MAINE
ME
01
—
061135
ANTHEM
ME
01
—
255880000
MEDICAID BASE BILLING
ME
05
—
255880099
—
ME
01
—
P00196955
RAILROAD MEDICARE
ME
Enumeration date
05/31/2006
Last updated
11/23/2009
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