Individual
ROBERT A FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 SCAMMON ST, SUITE 51, SACO, ME 04072-5121
(207) 282-3327
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD11041
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910399
—
ME
Enumeration date
10/03/2006
Last updated
09/12/2012
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