Individual
MARIE ANN A. DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 OAK HILL TER, SCARBOROUGH, ME 04074-8996
(207) 289-1010
(207) 289-1011
Mailing address
7 OAK HILL TER, SCARBOROUGH, ME 04074-8996
(207) 289-1010
(207) 289-1011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1498
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041373
BLUE CROSS BLUE SHIELD
ME
01
—
AA49435
HARVARD PILGRIM
ME
Enumeration date
06/10/2006
Last updated
11/24/2015
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