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Individual

MR. PETER ANTHONY GUILFOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
19 S GORHAM XING, GORHAM, ME 04038-2690
(207) 535-1400
Mailing address
655 MAIN ST, SACO, ME 04072-1699
(207) 294-5600

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
104-0000105
VT
363A00000X
Physician Assistant
055.0031165
VT
363A00000X
Physician Assistant
Primary
PA1400
ME

Other

Enumeration date
04/10/2006
Last updated
10/06/2023
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