Individual
SCOT C REMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CAMPUS DR, SUITE 121, SCARBOROUGH, ME 04074-7171
(207) 396-7760
(207) 396-8500
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35-071269
OH
207RX0202X
Medical Oncology Physician
Primary
MD20833
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307233
—
OH
05
—
3810010113
—
WV
01
—
830004525
MCR RR
—
01
—
CA7030
RAILROAD MEDICARE GROUP #
WV
01
—
P00610972
RAILROAD MEDICARE
WV
Enumeration date
07/19/2006
Last updated
04/27/2017
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