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Individual

ERIC S. SAMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 FODEN RD, STE 3, SOUTH PORTLAND, ME 04106
(207) 523-3700
(207) 523-8590
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
207P00000X
Emergency Medicine Physician
Primary
016502
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00173546
RAILROAD MEDICARE
Enumeration date
11/01/2006
Last updated
03/03/2026
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