Individual
RENEE DURGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 HERITAGE LN, SCARBOROUGH, ME 04074-9785
(207) 883-2664
Mailing address
15 HERITAGE LN, SCARBOROUGH, ME 04074-9785
(207) 883-2664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1566
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002762
MEDICARE
ME
01
—
100168
BLUE CROSS BLUE SHIELD
ME
01
—
11223564
CAQH
ME
01
—
1276315
AETNA
ME
01
—
8982540
CIGNA
ME
01
—
AA53594
HARVARD
ME
Enumeration date
06/11/2006
Last updated
05/19/2022
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