Individual
CHARLES A PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
24 PORTLAND RD, KENNEBUNK, ME 04043-6747
(207) 604-5085
(207) 604-5083
Mailing address
24 PORTLAND RD, KENNEBUNK, ME 04043-6747
(207) 604-5085
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1565
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254340099
—
ME
01
—
MM716502
MEDICARE PTAN
ME
Enumeration date
07/06/2006
Last updated
09/28/2011
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