Individual
DR. JACQUELYN CAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
(207) 774-4625
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1415
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296700099
—
ME
05
—
30227071
—
NH
Enumeration date
05/09/2006
Last updated
11/26/2014
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