Individual
SCOTT D AYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1 WESTBROOK COMMON, SUITE 2, WESTBROOK, ME 04092-2804
(207) 854-1239
(207) 854-1230
Mailing address
449 COTTAGE RD, SOUTH PORTLAND, ME 04106-4924
(207) 799-9700
(207) 799-9706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1086
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082040910
ANTHEM
ME
05
—
248570099ME
—
ME
01
—
5305799
CIGNA
ME
01
—
650022781
MEDICARE RAILROAD
ME
Enumeration date
03/28/2007
Last updated
11/09/2017
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