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Individual

DR. ANDREW J CANDELORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
617 US ROUTE 1, SCARBOROUGH, ME 04074-9714
(207) 883-5149
(207) 883-7885
Mailing address
617 US ROUTE 1, SCARBOROUGH, ME 04074-9714
(207) 883-5149
(207) 883-7885

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
880
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001649
ANTHEM
ME
05
107490000
ME
01
D93089
HARVARD PILGRIM
ME
Enumeration date
10/19/2005
Last updated
05/30/2008
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