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Individual

CHARLOTTE PAOLINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1250 FOREST AVE, PORTLAND, ME 04103-1884
(207) 878-9610
(207) 878-4941
Mailing address
1250 FOREST AVE, PORTLAND, ME 04103-1884
(207) 878-9610
(207) 878-4941

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
1350
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010211810015
TRICARE
ME
01
04-08809
EVERCARE
ME
01
060972
ANTHEM
ME
05
304990099
ME
01
M1077907
CIGNA
ME
01
P00049948
RAILROAD MEDICARE
ME
01
P36372
HARVARD
ME
Enumeration date
12/19/2005
Last updated
05/05/2008
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