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Individual

TIFFANY P SEGRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
(207) 774-4625
Mailing address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
(207) 774-4625

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017198
ME
207Q00000X
Family Medicine Physician
Primary
MD17198
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30208162
NH
05
432622599
ME
Enumeration date
11/30/2006
Last updated
02/11/2026
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