Individual
ANTHONY MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 SOUTH ST, PORTLAND, ME 04101-3914
(207) 775-5131
Mailing address
17 SOUTH ST, PORTLAND, ME 04101-3914
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12319
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119420000
—
ME
01
—
12319
MAINE MEDICAL LIC #
ME
Enumeration date
01/30/2007
Last updated
07/09/2007
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