Individual
GISSELLE MAQUOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD26025
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649706268
—
ME
Enumeration date
05/02/2017
Last updated
09/06/2022
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