Individual
ROBERT R SHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 WELLSPRING RD, BIDDEFORD, ME 04005-9401
(207) 282-3369
(207) 282-9920
Mailing address
4 WELLSPRING RD, BIDDEFORD, ME 04005-9401
(207) 282-3369
(207) 282-9920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008890
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027353
ANTHEM
ME
01
—
1041129
AETNA
ME
01
—
1970311
CIGNA
ME
05
—
320250099
—
ME
01
—
B86999
HARVARD PILGRIM HEALTHCAR
—
Enumeration date
10/11/2006
Last updated
05/23/2008
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