Individual
SEAN MCCLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 AUBURN ST, MIW, STE 102, PORTLAND, ME 04103-6004
(207) 828-4299
(207) 828-5056
Mailing address
222 AUBURN ST, MIW, STE 102, PORTLAND, ME 04103-6004
(207) 828-4299
(207) 828-5056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016847
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433047599
—
ME
Enumeration date
10/02/2006
Last updated
09/09/2010
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