Individual
NICK JOHN FURLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-3500
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49898
MT
207Q00000X
Family Medicine Physician
MD29646
ME
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
49898
MT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD29646
ME
Other
Enumeration date
04/02/2012
Last updated
09/02/2025
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