Individual
MELISSA L. TSOMIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
195 FORE RIVER PARKWAY, SUITE 420, PORTLAND, ME 04102
(207) 878-3177
(207) 878-2156
Mailing address
195 FORE RIVER PARKWAY, SUITE 420, PORTLAND, ME 04102
(207) 878-3177
(207) 878-2156
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA001062
ME
363AS0400X
Surgical Physician Assistant
Primary
PA-191
ME
Other
Enumeration date
09/21/2006
Last updated
03/11/2008
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