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Individual

ANN L. TRASK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
195 FORE RIVER PARKWAY, SUITE 440, PORTLAND, ME 04102
(207) 828-5606
(207) 828-5605
Mailing address
195 FORE RIVER PARKWAY, SUITE 440, PORTLAND, ME 04102
(207) 828-5606
(207) 828-5605

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
015971
ME
207V00000X
Obstetrics & Gynecology Physician
Primary
015971
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265510099
ME
Enumeration date
07/11/2006
Last updated
03/27/2009
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