Individual
ANNE SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012830
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251100099
—
ME
Enumeration date
09/02/2006
Last updated
12/31/2008
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