Individual
JOSEPH T DEGRINNEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PROFESSIONAL DR, SCARBOROUGH, ME 04074-8897
(207) 883-3491
(207) 885-5587
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14646
ME
208M00000X
Hospitalist Physician
MD14646
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00063834
RAILROAD MEDICARE
ME
Enumeration date
05/31/2006
Last updated
04/12/2020
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