Individual
ANDREA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 FODEN RD STE 3, SOUTH PORTLAND, ME 04106-1718
(207) 523-3700
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2939
NH
363A00000X
Physician Assistant
Primary
PA1717
ME
Other
Enumeration date
06/23/2017
Last updated
03/04/2026
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