Individual
KAREN E DMYTRASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13 INDUSTRIAL PARK ROAD, SACO, ME 04072
(207) 283-8800
(207) 286-9853
Mailing address
PO BOX 626, ONE MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 283-8800
(207) 286-9853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19803
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548494552
ANTHEM
ME
05
—
1548494552
—
ME
01
—
3160105
CIGNA
ME
01
—
4715521
AETNA
ME
01
—
AA31749
HARVARD PILGRIM
ME
Enumeration date
05/05/2009
Last updated
11/27/2013
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