Individual
HEIDI A ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD23927
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD23927
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
03/24/2026
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