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Individual

DR. PATRICIA GREATOREX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102-3100
(207) 774-6368
(207) 774-9338
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD15631
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020052789
RR MEDICARE
ME
01
027844
ANTHEM
ME
01
0753672001
CIGNA
ME
01
099317
ANTHEM
ME
01
1537576
AETNA
ME
01
2619338
AETNA
ME
05
306290099
ME
01
H41582
HARVARD PILGRIM
ME
01
P00460355
RR MEDICARE
ME
Enumeration date
04/11/2006
Last updated
11/26/2014
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