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Individual

JAMES B DONAHUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
491 US ROUTE 1, SUITE 20, FREEPORT, ME 04032-7022
(207) 865-2225
(207) 865-9990
Mailing address
491 US ROUTE 1, SUITE 20, FREEPORT, ME 04032-7022
(207) 865-2225
(207) 865-9990

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO884
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003982
ANTHEM BLUE CROSS NUMBER
ME
05
106640000
ME
01
4581698
AETNA HMO PROVIDER NUMBER
ME
01
7947889-001
CIGNA PROVIDER NUMBER
ME
01
98160
AETNA PROVIDER NUMBER
ME
Enumeration date
06/06/2006
Last updated
04/28/2017
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